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If your Surgery is not included on the form please contact us to find out whether or not we will be able to assist you.
Date of Birth
Allander SurgeryAnnfieldAshton HouseBank Street SurgeryBarony Medical CentreBridgeton Health CentreCarntyne Medical CentreCommonwealth Village Medical PracticeFernbank Medical CentreGallowgate SurgeryGlenmill Medical CentreGorbals Health CentreGovanhill Health CentreHunter StreetLightburn Medical CentreMain Street Medical PracticeMeadowpark SurgeryParkhead Health CentreQueens CrescentSandyford SurgerySpringburn Health CentreTownhead Health Centre (Yellow Practice)Parade Group Medical (Grey Practice)Whitevale Medical GroupWoodside Health Centre
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Please write down the Name, Strength and Quantity of each medicine you require e.g. Atenelol Tablets 25mg x 28. Only order what you need.
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Collection from Pharmacy24/7 Collection
By ticking this box below you are consenting to your future prescriptions being sent electronically to High Street Pharmacy. We will then dispense your prescriptions and deliver them to you. You can change this nomination at any time.