NHS Prescription Nomination | Nominate Nashi Pharmacy Online

This form is for NHS prescription nomination requests and administrative enquiries only. Please do not include medical symptoms, diagnosis details, or urgent clinical information. For urgent medical help, contact NHS 111. In an emergency, call 999.

Full name *

Date of birth *

Email address *

Phone number *

Postcode *

NHS number

Optional. Leave blank if you do not know it.

Current nominated pharmacy

GP surgery

Request type *

Preferred contact method *

Additional information

I confirm that I am requesting Nash Pharmacy to contact me about my NHS prescription nomination request. I understand this form is not for urgent medical advice or clinical enquiries.

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