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2nd Floor, Akerman Health Centre
60 Patmos Road, London, SW9 6AF
Tel. 020 3049 6500
Fax. 020 3049 6515
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Medication Request Service

What is the Medication Request Service?
The medication request service allows you to request your medication online.

If you wish to nominate a pharmacy for EPS, please click here.

Please select your nominated dispenser below, and fill in the medication request form:

Nominated Dispenser
Name and Address of Nominated Dispenser
Patient Information
Patient Full Name
GP Name
Patient Address
Patient Telephone
Patient E-Mail Address
Requested Medication
Confirmation
Tick here to confirm that you wish to request the aforementioned medication from the selected nominated dispenser