Registration Form

How it Works?

Please fill our registration form so you can register with Prosper Healthcare and use our services.

1. Register with us

2. Fill out a questionnaire (or skip)

3. Speak to our prescriber

4. Collect your medication or have your prescription delivered to your doorstep

Section 1 - Your details

Welcome to Prosper Healthcare
We ask for this so we can communicate with your GP. If you cannot provide this, you agree to accept responsibility to either provide your NHS number at a later date or for you to communicate directly with your GP if a medication is prescribed to you.

Section 2 - Medical Records

This section ensures medication safety for future medication we may prescribe. This helps to protect yourself and our prescribers to make the right decision for your health.
You must be registered in the UK
Click or drag files to this area to upload. You can upload up to 2 files.
You can attach any documents supporting your medication requests? This can include current repeat medication / medication packaging. This can be sent at a later date

Section 3 - Registration Agreement

By dating and clicking the submit button at the end will be an equivalent signing the registration form with Prosper Healthcare
If you disagree with any of the following or feel it is inappropriate, please email Prosper Healthcare at registration@prosperhealthcare.co.uk