Register for Online Services

How to register

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

We will contact you to verify your I.D, or alternatively you can verify your I.D through the NHS app if you have a smartphone, we will then issue you a username and password.

You may still be asked for proof of I.D and address if necessary.

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

Online Access Application Form Information

Registration Form

Full Name
Date of Birth
Current Home Address

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.