Minor Ailment Service
Monitored Dosage System
Complete the registration form below. Please choose your chosen branch from the branch options and fill all the fields marked with a *. Click submit to send.
Select Your Local Branch
Bonnybridge Health Centre
Inverkeithing High Street
Main Street West Calder
West Calder Health Centre
Date of Birth
Date Format: DD slash MM slash YYYY
Surgery Phone Number
I authorise Lindsay & Gilmour Pharmacy to receive and dispense my prescriptions from this surgery either by collecting for me, by post or by means of electronic transfer. I will inform you if I wish to change this arrangement.
I authorise Lindsay & Gilmour Pharmacy to order my repeat prescription on my behalf (I will contact the Pharmacy to specify which medicines I require) and to receive and dispense my prescriptions from this surgery, either by collecting for me, by post or by means of electronic transfer. I will inform you if I wish to change this arrangement.
To deliver my prescription to the address stated on this form. I will inform you if I wish to change this arrangement.
To use my contact details for communication purposes only in relation to matters concerning prescription collection and/or delivery. I will inform you if I wish to change this arrangement.
We are also able to provide a FREE text notification service to inform you when your prescription is ready for collection. Please tick this box if you would like to opt in for this service.
The data you provide on this form may be used for marketing purposes to provide information on the products and services we offer and will not be shared by third parties. If you wish to receive information on our products or services or be contacted please tick here.
Download our app
Our new NHS approved app, powered by Healthera, provides access to our services via your mobile. It’s also the easiest way to order and manage repeat prescriptions
Find Your Branch
Use our branch finder to locate your nearest Lindsay & Gilmour pharmacy. It’s simple to use and lists all the contact details you need to contact your local branch
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Lindsay & Gilmour
Pharmacy Support Office
19 Smith’s Place
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