NHS APP Form

As a practice we are moving towards a patient led usage of the NHS App, designed to make managing your healthcare easier and convenient. With this app you can -- order repeat prescriptions effortlessly, view your medical records securely, receive important health updates & reminders. Our goal is to provide you with quick and secure access to your health information anytime & anywhere.

NHS APP Form

Please provide a valid email address

Full Name

Date of Birth

Please tick what you would like access to view?

Documents

Investigations (Sample results)

Immunisations

Problems

Would you like an NHS App user leaflet posting out?

Yes

The surgery will Text/Phone when you have been set up.

If you require a child/children to be added as a proxy user on your account, please contact the surgery.

Please note, only one valid email address can be used on one account per patient.

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 and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to The Medlock Medical Practice • Keppel Building, Failsworth Health Centre, Ashton Road West, Failsworth Manchester, M35 0AD.

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.

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