Register for Online Services

To register for an online services account for appointment booking and prescription requests, you will need to complete and submit this form. We will then issue your username and password. If you have forgotten your password or are locked out please do not use this form but contact Reception.

Last Updated: 07/01/2022

  • Register for Online Services

    Date of Birth
    For example, 15 3 1984
    I would like access to my online services account to manage appointments and prescription requests.
    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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