39 Linkfield Road, Mountsorrel, Loughborough, LE12 7DJ

Tel: 0116 2375089

Apply for online access

Please complete the following online form and then visit the Surgery with copies of your proof of ID and address.

Title(Required)

Date of birth(Required)
Your email address(Required)
I wish to have access to the following online services(Required)
Please tick all that apply
I wish to access my medical record online and understand and agree with each statement(Required)
Your identity(Required)
To register for Online Services we need to verify your identity. So, please provide the practice: One photo ID such as passport or drivers licence and one form of ID with your home address on such as a recent utility bill or bank statement.
Please enter your full name
Date(Required)
Not for urgent medical help(Required)
Consent(Required)

Date published: 15th November, 2023
Date last updated: 15th November, 2023