You must complete the notification of bank and correspondence details form to set up bank details for your new pharmacy.
The Integrated Care Board (ICB) must complete section 1 of the form and forward to you to complete section 2.
The ICB will forward the form to our Customer Payments team. We'll use the information you’ve provided to make payments into the bank account entered on the form.
This form must only be used for new accounts and must be signed by the contractor.
You can view the notification of bank and correspondence details form on our website.