EPS Nomination

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Nominate Holden’s Chemist Express

Please complete this form to sign up to our FREE prescription delivery service, ensuring that all the information is entered accurately. By filling in this form you are asking your doctor to send all your electronic prescriptions to our pharmacy.











    By ticking this box you are consenting to your future prescriptions being sent electronically to Holden's Chemist Express. We will then dispense your prescriptions and deliver them to you. You also consent to have your medication put through a letterbox/door. You can change this nomination at any time.