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Register for online services

Register for Online Services

I wish to have access to the following online services (please select all that apply):

If the patient is under 16, the parent/guardian must provide a valid Birth Certificate along with their photo ID.

I wish to access my medical record online and understand and agree with each statement: *
I consent to receiving reminders and information via:

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.
*