Patient Registration Form For Online Services printable pdf download

Patient Registration Form For Online Services

THE WITLEY & MILFORD MEDICAL PARTNERSHIP

VAT Registration No. 879 1217 94

Witley Surgery, Wheeler Lane, Witley, Surrey GU8 5QR

Tel: 01428-682218 Fax: 01428-685790

Crossroads Surgery, Church Road, Milford, Surrey GU8 5JD

Tel: 01483-414461 Fax: 01483-418479

Email:

witley.surgery@nhs.net

Web Site:

Patient Registration Form for Online Services

Appointment Booking and Cancellation

Patients can book GP appointments online, up to 2 weeks in advance.

Only 1 online appointment can be booked at any time.

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.

Patient Registration Form For Online Services