Iom prepaid prescription 2026

1. Click ‘Get Form’ to open the iom prepaid prescription in the editor.
2. Begin by filling in your personal details. Enter your title, surname, first name, and date of birth in the designated fields. Ensure you use black ink and BLOCK CAPITALS for clarity.
3. Provide your National Health Service Number, house number or name, street, town, postcode, and a contact phone number. The email address is optional but can be helpful for communication.
4. Select the type of certificate you wish to purchase by ticking one box: either the 4-month certificate (£19.00) or the 12-month certificate (£54.00).
5. Indicate your preferred start date for the certificate. Remember that it cannot be more than 7 days earlier or one month later than when you submit this form.
6. Choose your payment method by ticking either cheque or postal order. Ensure that cheques are made payable to 'IOM Government' and crossed 'payee only'.
7. Read and sign the declaration at the bottom of the form to confirm your understanding of the terms and conditions before submitting.

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