Register for Online Services

To register for our online services you will need to complete this form..

Please note we need to verify your identification and residency. You will need to come into the Surgery in person within 7 working days, with one Photo ID such as valid passport or drivers’ licence and with proof of residence, such as a utility bill addressed to yourself dated within the last 3 months.

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 summary record, medications and known allergies
  • View your test results (subject to the GP’s discretion)

Your registration will not be processed until you have provided the required documents. If we have not received the requirements within 7 days your request will be deleted from the system.

Register for Online Services

DD/MM/YYYY
Please let us know your preferred contact number in case we need to contact you.

Part A - to be completed by ALL applicants

Select all that apply

Part B - to only be completed if you wish to apply for Detailed Coded Records Access

Please ensure you read our Information Leaflets before submitting your application- they contain important information about the risks and responsibilities of access to your medical records:

Please note that your GP will review your request for online access to your medical records and this process may take a couple of weeks.

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.