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Online Service Registration

Online Services - Please print this out and return to the surgery

Patient Name:

…..………………………………................................... DOB: ……………………….

We will shortly be introducing some new services to our patients. To enable us to include you in

these services please complete this form and return it to Oaklands Health Centre. The success of

these services is dependent on us having your up to date information.

Electronic Prescribing (EPS)

This means that you will no longer have to visit your GP practice to pick up your paper prescription. Instead,

your GP will send it electronically to your nominated pharmacy, saving you time. (You do not need a

computer to use this service)

We need you to choose where you want your GP to send your electronic prescription to. You can nominate

one pharmacy and one appliance contractor (e.g. stoma/catheter appliances)

Pharmacy:

………………………………………………..…………...............................................................

Appliance Contractor (e.g. stoma/catheter appliances)

................................................................................................................................................

Text Reminder Service

Due to the increasing cost of postage and high number of wasted appointments currently being experienced,

the surgery will shortly be introducing a text reminder service for those patients who have a mobile telephone.

To enable us to include you in this service please let us have your:-

Mobile No: ......................................................................................................

Online Booking of Appointments and Online Repeat Prescription Requests

Patients are able to book a limited number of appointments and order their repeat prescriptions online. For more information

please provide your email address and we can run you through the registration process. 

E-mail Address: …………………………………………………………………

Next Of Kin Details

This will enable us to contact your next of kin in the event of an emergency

Name: ……………………………………………… Relationship: …………………………………

Address: ………………………………………………………………………………………………..

…………………………………………………………………

Phone No: ……………………….

Please Note

: This information is for emergency contact only and no medical details will be discussed with your

NOK unless you have previously given permission.

 

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