Register for Online Services

To register for our online services you will need to complete this form. We will then contact you within two working days to arrange a time to verify your photo identification.

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
  • Cancel an appointment
  • Change your contact details
  • Review your medications and known allergies

Some of these services are currently suspended due to Covid.

Register for Online Services

Register for Online Services

I am a patient at Brockwell Park Surgery and I would like to:

Terms and Conditions

By completing this application form, I agree to the following conditions:

  • I have read and understood the Online Access for Patients – Important Information. I accept that it is my responsibility to maintain the security of any information that I see, download or choose to share with others.
  • 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 will contact the practice, as soon as possible, if I suspect that any of my accounts have been accessed by someone without my agreement or if I see information in my record that is not about me or is inaccurate.
  • If I think that I may come under pressure to give access to someone else unwillingly I will contact the practice as soon as possible.
  • The practice may withdraw my access to any online services, if it considers that they are being used inappropriately.
*