Patient Registration Form For Online Services printable pdf download

Patient Registration Form For Online Services

DR. K. SRIKRISHNAMURTHY, MBBS, FRCS

HEALTH CENTRE

574 HARROW ROAD, LONDON W10 4NJ

Tel: 020 8960 5499 Fax: 020 8968 1947

E-Mail:

Kumara.Srikrishnamurthy@nhs.net

Patient Registration Form for Online Services

Appointment Booking and Cancellation

 Patients can book GP appointments online.

 Online appointments may be cancelled online if no longer needed. Please ensure

you cancel any unwanted appointments as soon as possible.

 You can check online to see any appointments you have booked.

Repeat Prescription Requests

 You can check online to see what repeat medication is currently authorised for you

to re-order.

 You can re-order your repeat medications online.

 You can check to see whether your request has been accepted or rejected online

before you collect your prescription.

 You should allow 48 hours from submitting a request before collecting it.

Who can apply?

 Patients must be aged 16 years or over to register for an online account. Please use

this form.

 Parents may apply for an account on behalf of their children where both parent and

child are registered at the practice, and the child is aged under 12. Please ask for

separate form.

 Carers may apply on behalf of patients they care for where both are registered at the

practice and the carer has legal power of attorney for the patient or has been given

explicit patient consent. Please ask for separate form.

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Patient Registration Form For Online Services