Register for Online Medical Record Access

To register for our online medical record access, you will need to complete this form.

Register for Online Medical Record Access - Thatcham
Please use this date format: DD/MM/YYYY.

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

  • I will ensure I understand the information provided by the practice when I supply my ID.
  • I will be responsible for the security of the information that I see or download
  • If I choose to share my information with anyone else, this is at my own risk
  • I will contact the practice as soon as possible if I suspect that my account has been accessed by someone without my agreement
  • If I see information in my record that is not about me or is inaccurate, I will contact the practice as soon as possible
I have read and understood the above statement *

Patient Representative

I am the patient’s representative, and I am registering on behalf of:

For Practice Use Only

Method
Level of record access enabled