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 one form of photo identification and one proof of address.

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

Read our Protocol for requesting online access to Medical Records

Register for Online Services

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

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.

For Practice Use Only