Sign Up for Online Services

Boscombe Wellbeing Hub

Community Action Network (CAN) are working with Dorset Clinical Commissioning Group (CCG) and its members in the voluntary and community sector to create a mental health and wellbeing hub in the heart of the community of Boscombe. This space will provide the community with access to a wide range of services in a location where they […] More. . .

Cancer Matters Wessex

Cancer Matters Wessex is here for you if you are affected by cancer, whether as a patient, carer, family member or friend. Here you will find information about the diagnosis and treatment of cancer, as well as links to local services and support to help you live with and beyond cancer. https://cancermatterswessex.nhs.uk/ More. . .

Dorset Open Door

Experiencing bereavement is difficult at any time and for some people, it can be additionally traumatic during the COVID-19 pandemic. If you have been bereaved by suicide, the grieving process can be even more complicated, distressing, uncertain and confusing. Dorset Open Door, acknowledges that everyone has a different experience of bereavement. The team will listen to […] More. . .

You can sign up for our online services by completing the form below and bringing two forms of ID (one including a photograph) to one of our surgeries. We will then give you a PIN number and login details.

Please note that to register for our online services patients must be aged 13 or over.

Full Name: *

Date of Birth: *

Please use this date format: DD/MM/YYYY.

Phone Number:

Email Address: *

Address, including postcode:

Terms and Conditions

I understand that It is my responsibility to keep my account secure by keeping my details confidential I understand that I can terminate my account at any time by contacting the surgery, or change my log in details by re-registering and that this form will be kept on my electronic records I understand that my registration will be revoked if I constantly miss or cancel appointments.

I accept the terms and conditions stated above

For Practice Use Only

Patient NHS Number

Practice computer ID number

Identity verified by (initials)

Date

Method

Vouching

Vouching with information in record

Photo ID and proof of residence

Authorised by

Date

Date account created

Date passphrase sent

Notes / explanation

Opening Hours

Boscombe Wellbeing Hub

Cancer Matters Wessex

Dorset Open Door

Crescent Providence Surgery

Terms and Conditions

For Practice Use Only

Online

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