Register for Online Services

To register for our online services you will need to complete this form and then wait for a text from us asking you to take a photo of your photographic proof of ID e.g. passport or driving licence and text it to us.

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

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.
I consent to being contacted by text and to receive appointment reminders *
I wish to have access to the following online services (tick all that apply):
I wish to access my medical record online and understand and agree with each statement below (please tick)
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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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(Under 16s)
Please give as much detail as possible to enable us to process your query effectively, and remember to check your spam folder for a response