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.