Register for Online Services

To register for online services you will need to complete this form and attach a picture of your photo identification.

Please be advised that you will need to be a registered patient at this surgery to make use of our online services.

We will then issue you a username and password.

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

If you are human, leave this field blank.

Address, including postcode:

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.

I accept the terms and conditions stated above

Please attach your ID here:

Maximum upload size: 67.11MB

I can confirm I have uploaded my ID to complete registering for online services.

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