Update Details
Please let us know as soon as possible if you change your contact details or name. It is important that this is up to date in case we need to reach you.
Please note: If your name has changed due to Marriage or by Deed Poll, please provide a copy of the appropriate document (this is a requirement of the Department of Health).
Please complete this form in English.
I am a Carer
It is important that we know if you are a carer, so that we can make sure you receive information, services and the help that is available.
Individuals, irrespective of age, who provide or supervise a substantial amount of care on a regular basis to a relative, partner, friend or neighbour who is unable to manage on their own due to factors including illness, disability, frailty, mental distress, impairment or substance abuse. A carer can be a child looking after an older person or parent, or an older person looking after a disabled partner. The definition may be quite wide-ranging.
The term “carer” would not normally apply if the person is:
• a paid carer
• a volunteer from a voluntary agency
• anyone providing personal assistance for payment either in cash or kind
If you are a carer please complete this form.
View My Patient Record
To register for our online services click on the NHS app in the first instance. Once you are registered you will be able to use the service to:
- Order your repeat prescriptions
- Make or cancel an appointment
To access your full electronic record you will need to 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. You will then be able to:
- View test results
- View your electronic medical record
Patient Confidentiality
We will ask you for information to enable us to give you the best health care and treatment. We then keep this information, together with details of your care, because it may be needed when we see you again. Some of this we will need to share with others concerned with your care.
Everyone working for the NHS has a legal duty to keep information about you confidential. Information is kept in compliance with Regulation (EU) 2016/679 (the “General Data Protection Regulation” or “GDPR”) and the Privacy and Electronic Communications (EC Directive) Regulations 2003 and any guidance or codes of practice issued by the European Data Protection Board or the UK’s Information Commissioner from time to time (all as amended, updated or re-enacted from time to time).
If you would like to know more about how we use your patient information or your rights about opting out, please refer to our Patient Privacy Notice.
I Have Care Support
If you receive support from a friend, relative or paid professional please let us know, so that we can involve them appropriately in your care.