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Medicine reconciliation and change of details
Change of address or name?
If you have a change of address or name, please fill in the form and drop it into our pharmacy
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Change of details form
Medicine reconciliation form
Enter the names of all medication that you take regularly and how many you have left (i.e., 14 tablets etc) to bring them in line. Please note, as required medicines cannot be brought in line. Hand this form back to our pharmacy and we will contact the doctors on your behalf.
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MEDICINE RECONCILIATION
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260 Milton Road
Weston-super-Mare
Somerset
BS22 8EN
Contact Us
01934 413 100
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1093198
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