Online Patient Access request form

Use this form to request only access to your medical records or to manage your repeat prescriptions. We will get back in touch with you to verify your identity and then send you a key to get access.

Last Updated: 12/03/2021

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

Setting up a video call so we can verify your identity

So that we can check that it is really you who wants access to your records, we may ask to set up a 5 minute video call and ask to see some photo id. We do this by sending you a link to click on to join the call