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New Customer Application

New customers are always welcome at High Street Pharmacy. Please register by providing the details required in the online form. We will get back to you as soon as possible.

Confidentiality Agreement: High Street Pharmacy has a strict privacy policy which we require all our staff to adhere to. We will maintain the confidentiality of the personal and health care information you share with us through our online forms. Rest assured that the information you submit will not be disclosed to third parties.
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