Register – Cohens Chemist

To sign up for our repeat medication, delivery, collection & reminder packaging services you will first need to create a MyCohens account. To do so, please fill in the form below. If you have any questions completing this registration, please contact our operations department on 01204 473 100.

Your Account

Email: *

Confirm Email: *

Password: *

Confirm Password: *

Password Requirements:

6+ characters long
A mix of upper & lower case letters
A mix of numbers & letters

Your Personal Details

Title: *

First Name: *

Middle Name:

Last Name: *

Date of birth: *

Gender: *

Your Address

House Number / Building Name: *

Street Name: *

Town / City: *

PostCode: *

Mobile Number:

Landline Number:

Your Chemist and Surgery

Chosen Chemist: *

Chosen Surgery: *

* Only required if you wish to use our Free
Prescription Collection & Delivery Service.

My Cohens / Register

Your Account

Your Personal Details

Your Address

Your Chemist and Surgery

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