Register for NHS Online access to your medical records

To register for our online services you will need to complete this form and your record will be updated within 10 working days.

You may be sent a text or email with a link to your linkage key letter.

Last Updated: 24/12/2021

About you

First Name *

Surname *

DOB *

Mobile Telephone Number *

Email Address *

Address 1 *

Address 2

Town *

Post Code *

Online Services

WHICH ONLINE SERVICES WOULD YOU LIKE ACCESS TO? (TICK ALL THAT APPLY) *

Order Repeat Prescriptions

Make an Appointment

Cancel an Appointment

Change personal details

Review your medications and known allergies

View Medical Records

Results

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 consent to the practice collecting and storing my data from this form

Register for NHS Online access to your medical records

Further Information