This form should only be used to sign up for online access with Patient Access for yourself. You will need to complete a proxy access form to gain access for your children or another person.
We will send your login credentials after successful validation of your application.
Once you are registered you will be able to use the service to:
- Order repeat prescriptions
- Make appointments
- Cancel an appointment
- Update your contact details
- Review your medications and known allergies
All questions marked with an asterisk * are required.