Application for Online Access

 
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Application for Online Access

Application for Online Access

You can now book pre-bookable appointments with GPs online.

  • You must also take care online and make sure your personal information is not seen by anyone who should not see it.
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All questions marked with a * are mandatory

Keeping your password safe

Keeping your username and password safe

When you register to use Online Services, you will create your own username and password, which you will use to log in. You should not share your log in details with others.

To protect your information from other people:

  • You should keep your password secret and it is best not to write it down. If you must write it down, keep a reminder of the password, not the password itself. This should be kept in a secure place.
  • If you think someone has seen your password, you should change it as soon as possible. You may want to call the surgery if you are not able to change it right away, for example, when you do not have access to the internet.
  • You should not share your user name or password. No one should force you to show them your log in details, you have the right to say no. If someone forces you, tell the surgery as soon as possible.
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Using a shared computer

You need to take extra care when using a shared computer to look at your account online. This could be at the library, at work, at university or at home. To protect your personal information from others when using a shared computer. 

You should:

  • Look around to see if other people can see what is on the computer screen. Remember, your account contain your personal information.
  • Keep your username and password secret. Just like your bank account PIN you would not want others to know how to get into your account.
  • Make sure you log out when you finish looking at your account so that no one else can see your personal information or change your password without your knowledge.
Locked computer
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I am: *
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Details of the Patient
Please double check you've entered the correct email address
Details of the applicant(s)
 
Do you need to add a second applicant?: *
 

If you are making an application on the behalf of somebody else we require evidence of your Authority

Please upload a copy your supporting documents

  • You can upload a document, photo or scan

We require evidence of your Authority or Birth Certificate

Please upload a copy your supporting documents

  • You can upload a document, photo or scan
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
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Proof of Identity
NHS Logo

Identification

We are required to check the identity of all applicants

Acceptable forms of Photo ID

  • Photo Driving License
  • Passport

ID documents are not stored and will be securely destroyed in line with our data retention schedule.

Acceptable forms of Proof of Residence

  • Tenancy agreement
  • Mortgage statement
  • Bank statement
  • Utility bill (date within the past 3 months) 

Please upload a copy of 's ID and Proof of Address

  • You can upload a document, photo or scan
Please upload a copy of your ID and Proof of Address
  • You can upload a document, photo or scan
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx

Please upload a copy of  's ID and Proof of Address

  • You can upload a document, photo or scan
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx

Please upload a copy of  's ID and Proof of Address

  • You can upload a document, photo or scan
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
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To be completed by the Patient

I, , give permission to my GP practice to give the following people proxy access

    

Proxy access will be given to the following online services

  • Booking, viewing and cancelling appointments
Patients requiring access to use online services
Proxy declaration

, as the lead applicant agree the following and sign.

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Privacy Consent

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