Register on behalf of someone else

Use this form to request proxy access to online services on behalf of someone else.

Before you start

You will need:

  • Permission from the patient to request proxy access
  • The patient's personal details (name, date of birth, address)
  • Your own personal details

What is proxy access?

Proxy access allows you to access online services on behalf of another person, such as:

  • Online appointments booking
  • Online prescription management
  • Access to the patient's medical record

Important: Important

By completing this form, you confirm that the patient has given their permission for you to access their online services.