Patient Registration | Titan Pharmacy

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New Patient Registration

Your details are submitted securely in accordance with UK GDPR

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Nomination Submitted!

Thank you for registering with Titan Pharmacy.
Our team will be in touch to confirm your nomination.
You can now order your prescriptions online.

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Secure submission. Your details are sent directly and securely to the pharmacy team. We never share your information with third parties without consent.

First Name *

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Last Name *

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Date of Birth * DD/MM/YYYY

DD/MM/YYYY

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Home Address *

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Postcode * UK postcode

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NHS Number Optional — 10 digits, e.g. 485 777 3456

NHS

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Found on prescription bags, NHS letters, or your GP summary. Providing it helps us link your records faster.

GP Surgery Name & Address *

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Enter your GP surgery name and full address together in this box.

I wish to nominate Titan Pharmacy to receive my electronic prescriptions

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