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

NHS App

You can now register for online services without needing anything from the surgery by using NHS login:

www.nhs.uk/nhs-services/online-services/nhs-log-in

If you are human, leave this field blank.

Confirmation of consent for information about your/the patient's health to be sent to the email address provided

Address, including postcode:

Terms and Conditions

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

Patient Information - Online Access

I have read and understood the Patient Information Leaflet 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

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

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

If I think that I may come under pressure to give access to someone else unwillingly I will contact the practice as soon as possible.

Proxy Access

Please download the following form, it must be signed by the patient and proxy and you must bring the requested ID to the surgery Application for Proxy Access (PDF).

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Register for Online Services

NHS App