Register for Online Services

To register for our online services you will need to complete this form (alternatively you can download the form and complete it by hand: Online Access Registration form, or if you require the form in large print; Online Access Registration form – Large Print and then visit the practice, bringing  with you two forms of identification One of these must be a photographic ID that has your name on (e.g. passport, driving licence) and proof of address (e.g. household bill, tax Bill, Credit Card statement) no older than 3 months.

Patients under 16 years old must still provide photographic ID and can be given access via their parent or guardians record. 16 years and above must attend the surgery in person to register.

We will then issue you a username and password.

Once you are registered you will be able to use the service to:

• Order your repeat prescriptions
• Make an appointment – If you are booking appointment with a specific GP for a reason, please ensure that you note this clearly in your SystmOne booking to make the practice aware. Unforeseen circumstances may mean your appointment will have to be rescheduled to a different GP. If you have stated who you wish to see and they are not in, we will call you to discuss your options.
• Cancel an appointment
• Change your contact details
• Review your medications and known allergies

Register for Online Services

Register for Online Services

If you are human, leave this field blank.

Section

Address, including postcode: *

I wish to have access to the following online services (please tick all that apply):

Booking Medical Appointments

Requesting Repeat Prescriptions

Accessing my Summary Care Record (SCR) (Standard Access)

Accessing my Detailed Coded Record (DCR) (enhanced access)

I wish to access my medical record online and understand and agree with each statement: *

1. I have read and understood the information leaflet provided by the practice

2. I will be responsible for the security of the information that I see or download

3. If I choose to share my information with anyone else, this is at my own risk

4. I will contact the practice as soon as possible if I suspect that my account has been accessed by someone without my agreement

5. If I see information in my record that is not about me or is inaccurate, I will contact the practice as soon as possible

Signature *

Date

Preferred Contact Method (please select at least one):

Phone

SMS

Email

Letter

I consent to receiving SMS messages from the practice

Yes

No

Terms and Conditions

• I understand that it is my responsibility to keep my account secure by keeping my details confidential
• I understand that I can terminate my account at any time by contacting the surgery, or change my log in details by re-registering and that this form will be kept on my electronic records
• I understand that my registration will be revoked if I constantly miss or cancel appointments.

*

I accept the terms and conditions stated above

About SystmOnline

SystmOnline allows patients or someone acting on behalf of the patient to proactively manage their care. The online services available include the ability to view an online Electronic Medical Record (EMR) as well as booking appointments and managing medication.

SystmOnline is available as an online service or via apps, providing patients with convenience and flexibility when managing their care.

The SystmOnline apps can be used on Apple devices (iPhones and iPads) and on Android devices (mobile phones and tablets). They can be downloaded for free from the Apple App Store and from the Google Play Store. Simply click the relevant logo on the SystmOnline Login page.

Note: SystmOnline is only available from within the UK. You cannot access SystmOnline from abroad.