Parkview Surgery

On receipt of your application, we will contact you to arrange a suitable time to come in with the above ID. This is necessary to authenticate this process before the PIN number can be issued.

First Name*
Surname*
Date of Birth*
DD slash MM slash YYYY
Address*
Email*
Telephone
Mobile
I wish to have access to the following online services (please tick all that apply):*
- Booking appointments
- Requesting repeat prescriptions
- Accessing my medical record
I wish to access my medical record online and understand and agree with each statement:*
- I have read and understood the information leaflet provided by the practice
- I will be responsible for the security of the information that I see or download
- If I choose to share my information with anyone else, this is at my own risk
- If I suspect that my account has been accessed by someone without my agreement, I will contact the practice as soon as possible
- If I see information in my record that is not about me or is inaccurate, I will contact the practice as soon as possible
- 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
Signature
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Name
This field is for validation purposes and should be left unchanged.

Page

Self-Referral

Update your details

Order your Prescriptions

Online Appointment Booking

Patient Participation Group

Download Practice Leaflet

Patient Survey

Friends & Family Test

Out of Hours & Weekend Service

Opening Times

Monday
08:00 until 18:30
Tuesday
08:00 until 18:30
Wednesday
08:00 until 18:30
Thursday
08:00 until 18:30
Friday
08:00 until 18:30
Saturday
CLOSED
Sunday
CLOSED

Useful Links

	Very easy	Fairly easy	Not very easy	Very difficult	N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously