Register for Online Services

To register for our online services, you will need to complete this form. Please do not visit the surgery

Once you are registered, we will issue you with a username and password, and you will be able to use the service to:

  • Order your repeat prescriptions
  • Make an appointment
  • Cancel an appointment
  • Change your contact details
  • View your medical record
Register for Online Services
Please use this date format: DD/MM/YYYY.
Please specify which number you have provided: *
Do you consent to us using your mobile number to contact you via SMS messaging? *
Any responses we send will go to this email address.
Preferred contact method: *

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.
*