Instructions & Approval Process:
Please PRINT and COMPLETE the appropriate application form and present it to reception along with your ID. (Please note that any proof of residence must not be more than 3 months old) Applications for this service may take up to 28 days subject to approval by a GP. However the surgery has the right to refuse an application based on the best interests of the patient.
Please note that access to your online record will only be given after you have been registered with this Practice for 12 months or more and after approval by a GP.
Click on the links below for more information: -
Application Forms: -
Application for online access to medical record - For Existing Users
Application for online access to medical record - New Users
Proxy Application Forms: -
Application for Proxy online access to medical record - For Existing Users
Application for Proxy online access to medical record - For New Users
Medical Record Adjustment Form: -
If you feel there are errors on your medical record please can you print and complete the form below and hand in at reception. You must allow at least 14 day for us to process the form.
Medical Record Adjustment Form