6 Rockingham Close, London, SW15 5RW 020 8878 3386 info@rwalji.co.uk

Repeat Prescription Service

Enter in dd/mm/yyyy format

I am the patient named above/carer of the patient named above. Nomination has been explained to me and I have also been offered a leaflet that explains nomination. I would like to nominate R Walji Chemist as my nominated pharmacy for dispensing prescriptions issued by the NHS Electronic Prescription Service.

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