Information for patients completing this form

  • It will be your responsibility to keep your login details and password safe and secure. If you know or suspect that your record has been accessed by someone that you have not agreed should see it, then you should change your password immediately. Access can also be gained on some phones using fingerprints or Face ID – please consider this.
  • If you have concerns about this, we recommend that you contact the practice so that they can remove online access until you are able to reset your password.
  • If you print out any information from your record, it is also your responsibility to keep this secure. If you are at all worried about keeping printed copies safe, we recommend that you do not make copies at all.
  • The practice may not be able to offer online access due to a number of reasons such as concerns that it could cause harm to physical or mental health or where there is reference to third parties. The practice has the right to remove online access to services for anyone they feel it could harm or be put at risk.

More information about why these changing are being made can be found on the NHS Digital website by clicking here

    Consent for Full Online Access


    Date of Birth


    Key Considerations

    • Forgotten History - There may be something you have forgotten about in your record that you might find upsetting
    • Abnormal results or bad news - If your GP has given you access to test results or letters, you may see something that you find upsetting to you. This may occur before you have spoken to your doctor or while the surgery is closed and you cannot contact them.
    • Choosing to share your information with someone - It’s up to you whether you share your information with others – perhaps family members or carers. It’s your choice, but also your responsibility to keep the information safe and secure.
    • Coercion - If you think you may be pressured into revealing details from your patient record to someone else against your will, it is best that you do not register for access at this time.
    • Misunderstood information - Your medical record is designed to be used by clinical professionals to ensure that you receive the best possible care. Some of the information within your medical record may be highly technical, written by specialists and not easily understood. If you require further clarification, please contact the surgery for a clearer explanation.
    • Information about someone else - If you spot something in the record that is not about you or notice any other errors, please log out of the system immediately and contact the practice as soon as possible.



    Do you wish to have full online access to your GP records from 31st October 2023?


    Do you also need to update any of the following contact information on your GP record?






    Proof of ID

    You must provide one proof of identify (ID) if changing address

    Select using the file uploader below


    Acceptable file formats are JPG, PNG OR PDF. The file size should not exceed 3MB.





    Email Address