Clinic Booking System
My Appointments
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Create Patient Account
Account Details
Username:
Required. 150 characters or fewer. Letters, digits and @/./+/-/_ only.
Email:
First name:
Last name:
Password:
Your password can’t be too similar to your other personal information.
Your password must contain at least 8 characters.
Your password can’t be a commonly used password.
Your password can’t be entirely numeric.
Password confirmation:
Enter the same password as before, for verification.
Personal Details
Date of birth:
Date of birth (required for patient matching)
Sex:
Male
Female
Unknown
Other
Not Stated
Sex as recorded on NHS record
Nhs number:
NHS Number (optional but recommended for accurate matching)
Verification level:
P5 (Medium)
P9 (High)
Unverified
Identity proofing level (defaults to unverified)
Contact Information
Phone number:
Mobile number for contact
Address line1:
Address line 1
Address line2:
Address line 2 (optional)
City:
City/Town
Postcode:
UK postcode
Health Information (Optional but recommended for clinical safety)
Allergies:
Known allergies (optional but important for clinical safety)
Current medications:
Current prescription medications (optional)
Nominated pharmacy:
Preferred pharmacy name and address (optional)
Existing medical conditions:
Existing medical conditions (optional)
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