Setup Your Pharmacy Website

Congratulations on your purchase! Please provide your contact details and check the pharmacy information below.

Hosted & Premium plans: Your website will be live within 72 hours of submitting this form.
Self-hosted plan: You'll receive your customised website files via email.

Your Contact Information

Your Name *

Your Email *

We'll use this to contact you about your website if needed.

Website Domain

Only complete this section if you purchased a Hosted or Premium plan. Self-hosted customers will receive files to host on their own domain.

Your Preferred Domain Name

Second Choice Domain Name

If your first choice isn't available, we'll use this option (e.g., add your town name).

Pharmacy Information

Pharmacy Name *

Postcode *

Phone Number

Pharmacy Email Address

Only update fields that need changing. Leave fields blank to keep the current template information.

Pharmacy Address

Address Line 1

Address Line 2

Town/City

County

Postcode

Opening Hours

Only update if your hours are different. Enter your opening hours in 24-hour format (e.g., 09:00-18:00) or type "CLOSED" for closed days. Leave blank to keep current template hours.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Pharmacy Services

Only update if you want to add services. To remove services listed on your website, please use the additional information section.

Service 1

Service 2

Service 3

Service 4

Service 5

Service 6

Service 7

Service 8

Service 9

Service 10

Additional Information

About Your Pharmacy (Optional)

Special Requests or Notes (Optional)

Your website will be live within 72 hours of submitting this form.