Online NHS App request form

Use this form to request only access to your medical records or to manage your repeat prescriptions.

Last Updated: 16/02/2022

Your details

Your contact details

Please make sure you fill in at least one

Which services do you want access to online

Please tick those that apply


It's important that your information is kept private and secure

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.