Online Services - Patient Details Form

To make use of our new online services like requesting repeat prescriptions and viewing appointments, kindly fill out the form below. By completing this form, you are giving us your consent to opt in to online services, SMS communications, and all other digital communications from our practice.

You will need to re register at www.patient-services.co.uk to use our online prescription repeat request service.  

By using Our site, you consent to such processing and you warrant that all data provided by you is accurate. Your registered e-mail address will be used by Newbyres Medical Group  GP practice to send reminders and notifications. If you are sharing an e-mail address, those reminders and notifications will be viewable by any user of that shared e-mail address.

By submitting this form, you are confirming that you understand and agree to our data usage policies as per the GDPR guidelines. You also confirm that you are over 16, or have parental permission to use these services.

 

 

Last Updated: 11/02/2025

  • Patient Details

    Date of Birth
    For example, 15 3 1984
    Do you currently use the online prescription service
    Please select the pharmacy you would like your online repeat prescription to be sent to as all online prescriptions will be sent to a pharmacy of your choice which can be changed if you need to.
    I am aware I may need to attend the practice with proof of address and to collect my log in details from the front desk. The practice will advise if this is the case. ( Please note this will take 5 working days from sending this form)
    Do you agree to opt in to our online services like requesting repeat prescriptions and viewing appointments via www.patient-services.co.uk and receive appointment reminders and health updates through SMS?
    If No you will not be able to use the online prescription service.
    By using Our site, you consent to such processing and you warrant that all data provided by you is accurate. Your registered e-mail address will be used by Newbyres Medical Group GP practice to send reminders and notifications. If you are sharing an e-mail address, those reminders and notifications will be viewable by any user of that shared e-mail address.
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