Register for Online Services

If you require proof of your Covid-19 vaccinations, please see our latest news post.

Did you know that patients can access online services directly via the NHS App, without the need to request access from Brockwell Park Surgery? For more information please see our NHS App information.

Register for Online Services

I am a patient at Brockwell Park Surgery and I would like to: *
Please attach a short (5 second) video of yourself confirming your name and date of birth, with a copy of your photo ID (passport or driving licence) clearly in view.
Alternatively, our reception team will contact you to arrange a suitable time to verify your ID.

Terms and Conditions

By completing this application form, I agree to the following conditions:

  • I have read and understood the Online Access for Patients – Important Information. I accept that it is my responsibility to maintain the security of any information that I see, download or choose to share with others.
  • 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 will contact the practice, as soon as possible, if I suspect that any of my accounts have been accessed by someone without my agreement or if I see information in my record that is not about me or is inaccurate.
  • If I think that I may come under pressure to give access to someone else unwillingly I will contact the practice as soon as possible.
  • The practice may withdraw my access to any online services, if it considers that they are being used inappropriately.
Please attach you files here:
Maximum upload size: 104.86MB