Online 'Pre-Registration' With The Practice
Please email the practice on email@example.com requesting a registration pack and we will email you back with the relevant forms.
When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us.
Note that by sending the form you will be transmitting information about yourself across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.
If you would like to request an Online Services application form (this will allow you to view your records and request medication electronically) please email firstname.lastname@example.org