Register for Online Services

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

Please check your emails for instructions on how to send your photo ID and proof of current address. You cannot be registered for online access unless you do so.

Your registration form will expire after 30 days, after which you will need to complete the form again should you wish to register for Patient Online Services.

Once you are registered you will be able to use the service to:

  • Order your repeat prescriptions
  • Make an appointment
  • Cancel an appointment
  • View your medical record
Register for Online Services

Register for Online Services

Please use this date format: DD/MM/YYYY.

I understand that I will have access to these online services:

  • Booking appointments
  • Requesting repeat prescriptions
  • Accessing my medical record (ID required)
*

I wish to access my medical record online and understand and agree with each statement below:

  • I will ensure I understand the information provided by the practice when I supply my ID.
  • I will be responsible for the security of the information that I see or download
  • If I choose to share my information with anyone else, this is at my own risk
  • I will contact the practice as soon as possible if I suspect that my account has been accessed by someone without my agreement
  • If I see information in my record that is not about me or is inaccurate, I will contact the practice as soon as possible
*

Patient Representative

I am the patient’s representative, and I am registering on behalf of:

For Practice Use Only

Method
Level of record access enabled