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
Register for Online Services

Register for Online Services

I wish to have access to the following online services (tick all that apply):

Application for online access to my medical record

You will need to bring photo identification, as well as details of your address for verification e.g. latest utility bill, driving license, passport. Please note prescriptions will not be accepted, driving licenses will not be accepted as proof of address and photo ID.

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.
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