Create New or Modify Existing Customer Account

All sections must be completed, with as much infomation as possible.

Invoice Address

We will require you to complete a Customs and Excise Compliance / Zero Rated Supplier Declaration. Please download the Declaration and follow the instructions contained therein.

Parent Company Address

Delivery Location(s)

NHS Supply Chain delivers to a wide variety of healthcare locations, from hospitals to small GP clinics and dental surgeries. It may therefore be necessary to carry out a road and access suitability assessment and to confirm where you would like your goods delivering. If this is required for your location, we will generally carry out the survey when making the first delivery.

For more than one delivery location, download this file complete the form, save it then use the upload button to add your file to this form

NHS Supply Chain only emails invoices, please submit an email address for our records

If Yes, you must complete all the sections ‘What type of products will you be ordering from us’. Failure to provide sufficient, verifiable evidence of your suitability to order MP’s will result in you being unable to place demand for this range, even though you may be able to view them in our catalogue.

Acceptable evidence is one of the following:

• A copy of your MHRA Distributor or Manufacturers Licence (if applicable).
• A headed letter containing the following – GMC / GDC / GPhC registration number, forename(s) and surname.

As part of MHRA requirements placed on NHS Supply Chain as a distributor of Medicinal Products we are required to undertake customer validation checks and as such we reserve the right to restrict supply of Medicinal Products to validated customers.

Please note evidence provided will be routinely subject to re validation, subsequent failure will see the range removed from your access.

• Terms of payment are strictly 30 days from date of invoice.
• Orders below £120 will incur a carriage charge of £7.50 (inclusive of VAT).
• The account must be used monthly or we reserve the right to terminate the account.
• Depending on volume, we may use Roll cages to fulfil your delivery. Roll cages are a critical resource for the NHS and shortages significantly impact our ability to provide a satisfactory service to our customers. It is therefore the delivery location’s responsibility to adhere to the below;
  • All empty roll cages are to be folded down and stacked together ready for collection.
  • Cages are not to be used for storage, or the transport of laundry under any circumstances.
  • All roll cages are to be returned on a 1:1 basis.
  Repeated failure to abide by these requirements may lead to cages being withdrawn and replaced with pallets on future deliveries.
• This agreement does not permit you to use these products for any other customer other than stated above. Evidence of such practices will result in the termination of your account.
• By typing my name / signing below, I certify the above information to be true and correct, to the best of my knowledge, and that this information can be used for the purpose of processing my application.