Havergal Surgery - Patient Online Registration Form

This form is for patient to request for Access to GP Online services. Once this is processed, you will be contacted with a linkage code. This request can take up to 5 working days. 

Last Updated: 07/11/2022

Personal Details

Services Available

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If you selected "Accessing my medical record"

If you are wanting Online Access to your medical record, please review below and agree with the following statements showing you understand each of them. If you do not accept the terms below in relation to access of medical records then we will not be able to process your request.

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