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In order to create you an account, we must first take a few personal details from you. When you have finished filling in the form below please click on the
'Create Account >'
button below.
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Email Address
(this will also be your username)
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(if known)
GP/Surgery Name
Please choose which Pharmacy is closest to you. This Pharmacy will be used as your default Pharmacy but can be changed at any time.
The Radford Branch
The Canley Branch
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