Register for Online Services

To register for our online services you will need to complete this form and then, if requested, visit the practice, bringing  with you two forms of identification. Alternatively you may be contacted by a member of staff. Please do not visit the surgery unless requested to do so by a member of the team.

To confirm your registration, we will require identification (this should be photographic, such as a passport or a Photo Driving Licence) which can be attached to this form.

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 would like to: *

Please note, we will need to verify your identity for any password reset requests and you may be contacted regarding this.

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.
*
To complete your registration please upload proof of identity, this should include Photographic ID and proof of address.
Maximum upload size: 104.86MB