New Customers Registration

Please register with us by completing the form below. Once registered as a Jedburgh Pharmacy customer, if you find your time is at a premium or if you have regular medication needs, ask a member of the Pharmacy Team to register you for our Online Repeat Prescription Service.

To register for the service, please speak to a member of our Pharmacy Team to discuss your individual needs. Alternatively, if you already know that you’d like to use our Online Repeat Prescription Service you can register with your email address via the link at the bottom of this page.

In the first instance, please register as a patient with Jedburgh Pharmacy by completing the form below. You can also use this form to ask us to provide your regular medication in Dosette boxes.

    Customer's Contact Details

    Your Full Name

    Your Contact Number

    Your Email Address

    Your Date of Birth

    Your Address

    Carer's Details (if applicable)

    If registering for someone you care for

    Your Full Name

    Your Date of Birth

    Your Address

    Current Prescriptions

    Please list your current repeat medication


    I authorise Jedburgh Pharmacy: (Please tick all that apply)
    to manage repeat prescription using the Repeat Dispensing Serviceto collect repeat prescriptionsrequest & collect repeat prescriptions

    From doctor:

    Online Repeat Prescriptions

    The online service we provide makes it easy for you to manage and reorder your repeat medication online.

    You’ll save time and will receive timely email reminders when your medication is due for reordering. Instead of turning up at the Pharmacy and waiting for your prescription to be prepared, we will notify you by email in advance that the items you have ordered online are now ready and waiting for you.

    Find out more

    Please feel free to contact us for advice and to find out more about the services we offer instore and online.