Registration for online services – Forest Health Group

Complete this form to register for online patient services. Once complete please allow 2 working days for the practice to process your application.

Online Services Registration
First name(s)*
Surname*
Address*
Post Code*
Date of birth*
DD
MM
Year
Email*

Please note that this email will be associated to your online services login. Your registration details will be sent to this account and it should not be a shared account.
Consent*
I agree to the privacy policy.
By Submitting your details you are consenting to providing this information for improving our services to you. The data you supply on this form will be securely stored on our website, which is hosted by a third party. We will retain this information on the website for no longer than 7 calendar days. Your contact details will not be sold or shared with a third party. I understand I can revoke consent at anytime by contacting the practice. Our privacy policy can be viewed on the website.

Online Services Registration