Placing Your First Prescription Order

Thank you for choosing to place an order with the Rocialle Direct Prescription Home Delivery Service for the first time.

If you’ve already registered with us and are looking to make a repeat order, you can click here to redirect you to a short reorder form.

We will require the following information from you:

  1. Your GP’s name and address
  2. Details of your products including the code and/or description along with the quantities you require
  3. Your exemption details and NHS number if you have it available

We look forward to hearing from you.

Placing your Order

Complete our online form below, press submit and you will receive an automated email response to let you know it has reached us safely.

Once your form has been reviewed, a member of our team will be in touch if we require any further information or to confirm that we will request your prescription.

Alternatively, call our freephone 0800 008 6646 if you would like to speak to our friendly customer service team who can take all your information over the phone.

First Prescription Order Form

Fill out my online form.