Register for Online Services

To register for our online services you will need to complete this form and then visit the practice, bringing with you two forms of identification. One of these items should include your photograph.

We will then issue you a username and password.

Once you are registered for the online services, you can access your account through an internet browser or an approved app.

There are two apps you can use – Airmid UK or the NHS app. These apps can be downloaded on the Appstore from your iPhone or the Playstore from your Android phone.

When using an approved app, you may be asked for our organisation code, a third-party passphrase and your account ID. You will be given this information when registered but you can request it again by contacting us.

Once you have completed the following form, we will provide you with an automatically generated username and password which can be used to log-in to your account. Once you have entered your password for the first time, you are prompted to reset your password to something you will remember. Do not share your password with anyone. If you forget your password, please complete the register for online services form again and we will issue you with a new password.

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
Register for Online Services

Register for Online Services


Allow appointment booking *
Allow medication requesting *
Allow completing questionnaires *
Allow detailed coded record *

I wish to have access my medical record online and understand and agree with each statement:

I have read and understood the Online Services Records Access information leaflet provided by the practice.

I will be responsible for the security of the information leaflet provided that I see or download.

If I choose to share my information with anyone else, this is at my own risk.

If I suspect that my account has been accessed by someone without my agreement, I will contact the practice as soon as possible.

If I see information in my record that is not about me or is inaccurate, I will contact the practice as soon as possible.

If I think that I may come under pressure to give access to someone else unwillingly I will contact the practice as soon as possible.


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.