Sign up

Address*

NHS Exemption *
I am 60 years of age or over OR I am under 16 years of age.I am 16, 17, or 18 AND in full-time education.I have a valid maternity exemption certificate.I have a valid medical exemption certificate.I have a valid prescription prepayment certificate.I have a valid prescription exemption certificate issued by the Ministry of Defence.I get Income Support OR Income-related Employment and Support Allowance.I get income-based Jobseeker's Allowance.I am named on a current HC2 charges certificate.I am entitled to or named on a valid NHS Tax Credit Exemption Certificate.I get Pension Credit Guarantee Credit (or have a partner who does).I get Universal Credit AND meet the exemption criteria.Patient Has Paid Appropriate Charges.Is 60 Years of Age or Over.Has a War Pension Exemption Certificate.Was Prescribed Free of Charge Contraceptives.Patient Does Not Need to Pay the Prescription Charge.Patient Has Paid Appropriate Charge At Old Rate.Free Of Charge Sexual Health Medication.Has Valid Maternity Cert_RTEC.Patient Does Not Need to Pay the Prescription Charge_RTEC.

Are you the patient or representative?*
PatientRepresentative

Please leave this field empty.