Digital Access Form

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All questions marked with a * are mandatory

Personal details
Please double check you've entered the correct email address
May be used to identify you
Additional Security Question: Are you currently taking any prescribed medications?: *
How can we help?
Please select: *
Proving who you are to gain full access
Do you have photo id?: *
Do you still need help?: *
Requesting full access to medical records (including test results)
Support with downloading the NHS App
Do you still need help?: *
Requesting proxy access

Who do you require app proxy access to?

Type of proxy access: *
Booking online appointments
Do you still need help?: *
Ordering repeat medication via the NHS App
Do you still need help?: *

Privacy Consent


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