Join the Broadway family

Nominate our pharmacy to dispense your NHS prescriptions and we’ll be in touch to confirm.

Name*
First Last
Your date of birth*
Select the drop down list to find your date.
DD slash MM slash YYYY
Phone*
E-mail*
Address*
Street Address Address Line 2 City Postcode
Drs Surgery*
Authorisation*
Please tick the following if you agree.
- I would like to nominate Broadway Pharmacy with Cure Clinics as my nominated location for collecting NHS prescriptions and Broadway Pharmacy with Cure Clinics to collect prescriptions from my GP practice.
- I am the patient named above / carer of the patient named above.
- I give permission for my summary care records to be viewed by Broadway Pharmacy with Cure Clinics where appropriate.
- I wish to use the 24 hour collection machine.
- I wish to have my medicines delivered.
- Sign up for updates about our clinics, products and events.
Broadway Pharmacy with Cure Clinics is committed to ensuring the security and protection of the personal information that we process, and to provide a compliant and consistent approach to data protection. If you have any questions related to our GDPR compliance, please contact our Data Protection Officer at contact@broadway-pharmacy.co.uk.

Contact us directly

Complete the form above to nominate Broadway Pharmacy with Cure Clinics to dispense your NHS prescriptions in the future.

For more information about nominating a pharmacy to dispense your NHS prescriptions take a look at the NHS website here.

Of course, not everyone wants to use the internet or you may have questions so feel free to phone us, e-mail us or visit the pharmacy whenever it is convenient and we can help set you up with what works for you. Our e-mail and phone number are below.

contact@broadway-pharmacy.co.uk

01772 717 574