Expression of Interest Form

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Patient Registration Form

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GoCardless Subscription Form

PillPacPlus Subscriptions

Thank you for registering for our PillPacPlus sachet service. Pillbox Pharmacy offer a choice of two subscription plans

4 Week Collect

Pillbox Pharmacy will collect your prescription from your GP and notify you when your 4 week sachet supply is ready to collect from our Pharmacy  

Set up Direct Debit

£10 every 4 weeks

4 Week Delivery

Pillbox Pharmacy will collect your prescription from your GP and once prepared, will deliver your 4 week sachet supply directly to your door.

Set up Direct Debit

£15 every 4 weeks

For your added reassurance our subscription plans can be cancelled at any time and there is no minimum term. Pillbox Pharmacy does not hold your bank account details. Your payments will be safely and securely processed by GoCardless and are protected under the Direct Debit Guarantee