Register for Online Services

To register for our online services you will need to complete this form and then visit the practice, bringing  with you two forms of identification. One of these items should include your photograph.

We will then issue you a username and password.

Once you are registered you will be able to use the service to:

  • Order your repeat prescriptions
  • Make an appointment
  • Cancel an appointment
  • Change your contact details
  • Review your medications and known allergies
  • Access medical records
  • View test results
Register for Online Services

Register for Online Services

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
I wish to have access to the following online service (tick all that apply): *
Which practice would you like to collect your username and password from? *

Application for online access to my medical records

I wish to access my medical record online and understand and agree with each statement: *
*
*
*
*

Terms and Conditions

I understand that It is my responsibility to keep my account secure by keeping my details confidential I understand that I can terminate my account at any time by contacting the surgery, or change my log in details by re-registering and that this form will be kept on my electronic records I understand that my registration will be revoked if I constantly miss or cancel appointments.
*

For Practice Use Only

Method
Level of record access enabled