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Access to Summary Records Application Form

If you wish to, you can now use the internet to book appointments with a GP, request repeat prescriptions for any medications you take regularly and look at your medical record online. You can also still use the telephone or call in to the surgery for any of these services as well. It’s your choice.

Please read this leaflet for more information about accessing your summary record

Access your Summary Record Online >>

To register you will need to complete the application form below.  Once this form has been submitted you will need to provide proof of identity by taking this to the surgery you are registered at (Lofthouse Surgery or The Manse Surgery).  You will need to do this before access to online services can be granted.

 

1Access to Summary Records Application Form

I wish to access my medical record online and understand and agree with each statement


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Your Neighbourhood Professionals. Just a Click Away! Thorpe Pharmacy Queen Elizabeth Grammar School Yorkshire Urology
Lofthouse Surgery - 2 Church Farm Close, Lofthouse, Wakefield, WF3 3SA
The Manse Surgery - 4 Marsh Street, Rothwell, Leeds, LS26 0AE
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away! Thorpe Pharmacy Queen Elizabeth Grammar School Yorkshire Urology
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