ETP Nomination

Nominate Victoria Pharmacy to collect your prescriptions electronically from your GP surgery. We'll handle the ordering and collection, making your medication management easier.

Nomination Form

Complete the form below to nominate Victoria Pharmacy as your preferred pharmacy. All fields are required.

Full Name *

Date of Birth *

Day

Month

Year

Surgery Name *

List of Medications Required *

I authorise Victoria Pharmacy to order my medication on contact from myself or my representative and collect my prescription from my surgery. I will inform the pharmacy if I wish to make changes to this arrangement. *

By submitting this form, you agree to our Privacy Policy.

What is ETP Nomination?

Electronic Prescription Service (EPS) allows your GP to send your prescription electronically to your nominated pharmacy. This means:

No need to collect paper prescriptions from your surgery
We can order your medication directly when you contact us
Faster, more convenient prescription collection
You can change your nomination at any time

Regulated by the General Pharmaceutical Council. Pharmacy GPhC No. 140702.

Superintendent Pharmacist: Abbasali Dossa (GPhC 2057151).