GP Online Access for my Child(ren)

If you wish to request GP Online Proxy Access for children up to 12 years old, complete the details below.

If you wish to register for proxy access for more than 2 children, please complete the form as many times as required as we are only able to set up 2 children per form at this time.

Last Updated: 28/03/2022

Parent's Details

Parent's First Name *

Parent's Surname *

Parent's Date of Birth *

Parent's First Line of Current Address *

Child's Details

Child's First Name *

Child's Surname *

Child's Date of Birth *

Second Child's Details

Child's Details

Child's First Name

Child's Surname

Child's Date of Birth

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 Access for my Child(ren)

Further Information

Connect With Us