GP Online Services Request

Use this form to request access to GP online services. Using GP Online services you will be able to view your GP medical record, request prescriptions, and view, book or cancel GP and a limited range of nursing team appointments

Last Updated: 18/02/2020

My Details

Name, date of birth and address information

First Name *

Last Name *

Date of Birth *

First line of your home address *

Mobile telephone number

Confirmation of request for GP Online services

By continuing, you consent to the practice using your information to set up access to your GP record, and prescriptions/appointments. The practice will use this information to confirm you are registered with the practice, to confirm your presonal details, and to set up your GP Online services access. You will also need to create an account at https://app.patientaccess.com/registration/create to complete the registration for GP Online services. You may be asked to present photo ID at the practice before your GP Online services account is fully activated.

Please confirm you wish to have access to GP Online services *

Yes No

Email Address to use for access to GP Online services

Your email address is required to access GP Online services. Each GP Online services account requires a unique email address

Email address to use for access to GP Online services *

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Cookies on the Bicester Health Centre website

GP Online Services Request

Further Information

Connect With Us