Register for Online Services

Address, including postcode:

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

Booking appointments

Requesting repeat prescriptions

Accessing my medical record

If the patient is under 16, the parent/guardian must provide a valid Birth Certificate along with their photo ID.

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

I have read and understood the Online Access for Patients – Important Information provided by the practice

I will be responsible for the security of the information that I see or download

If I choose to share my information with anyone else, this is at my own risk

I will contact the practice as soon as possible if I suspect that my account has been accessed by someone without my agreement

If I see information in my record that is not about me or is inaccurate, I will contact the practice as soon as possible

I consent to receiving reminders and information via:

Text

Email

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.

*

I accept the terms and conditions stated above

Tell us whether you accept cookies