Authorisation Consent Form



• By completing this form you are giving permission to Sutherland's Pharmacy to contact you via SMS advising when your prescription medicines are ready to collect.
• Your personal and prescription details will never be shared with any party outside Sutherland's Pharmacy. We will only ever contact you via text for the express purpose identified here.
• You are confirming that you will advise of any change in your contact details, or if you wish to withdraw from this service.
• Texts are generated using a secure facility and they are transmitted over a public network which may not be secure.
• The pharmacy will not transmit any information which would allow you to be identified.