Register for online services (14 years & over) – Access Medical Records and Test Results

Patients may request to view their electronic medical records and test results through Patient Online Services. To request access you will have had to previously fully registered for online access with us.

Before completing this form please read through the information on our Patient Online Services page.

This form goes through the main issues you need to understand before you can access your medical record over the internet or APP. It will raise questions that you may not have considered to help you to decide whether or not to access your record in this way.

For security purposes we will write to you to confirm your request and when this part will be available for you to use, which is normally up to 7 days.  Should you wish to have access sooner, you would need to attend the Practice in person.

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If you are a patient 14 years of age or older wanting to give proxy access to a 3rd person (carer, or close family member for example) please use the following form.  This does not include online access to medical records

If you are a patient 14 years or older wanting to also give proxy ONLINE access to a 3rd person (carer, or close family member for example), or if you are a 3rd party wishing to request ONLINE access for a child under 14 years, then please use the following form.

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Register for online services (14 years & over) – Access Medical Records and Test Results

Register for online services (14 years & over) – Access Medical Records and Test Results

Please use this date format: DD/MM/YYYY.
If you don't provide an email address we won't be able to respond to you by email

I consent to Montgomery-House Surgery giving me access to my medical records via Patient Access Electronic Records Viewer.

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