EPS nomination form
Simply complete your details below and we'll ensure you are set up for future orders.
How your information will be used:
By providing your personal information on this form, you are consenting to Charter and Coloplast using it for administration and analysis purposes and to process your prescription orders. We will share this information with healthcare professionals and other companies needed to deliver your products or if required by law.
We assure you, your personal information will not be passed on to any third parties for marketing purposes however we may contact you for customer satisfaction and research purposes.
What this means for you
- we will receive your prescription from your GP quicker than if sent by post.
- a more secure method and reducing any risk of it getting lost.
- ensures your prescription goes to the right place, first time.
- we will be able to send you your appliances sooner.
What you need to do?
As you have chosen Charter to dispense your medical supplies, all you have to do is ‘nominate’ us.
Existing customers - simply complete the form below.
New customers - register here for the Charter service.
Is EPS reliable, secure and confidential?
YES. Your electronic prescription will only be seen by the same people that see your paper prescriptions now.
Can I change my nomination or cancel it and get a paper prescription?
YES you can. Nomination is very flexible and can be changed or cancelled at any time as you wish.
Electronic Prescribing is only available in England with the majority of surgeries now operating this service.
More information about the NHS Electronic Prescription Service is available here.