Clarkston Medical Digital Register

Use the form below to give us your details for registering for online services, including formal opt in/out for SMS notifications, email address provision and to registered for Vision Patient Services, the system that allows you to book appointments and order prescriptions securely online instead of over the telephone..

NB – works better in landscape orientation on mobile

Patient Access Register

Use this form to let us know your preferences for SMS/text communications, email and online access. If you have registered with the Practice and given us a mobile phone number, we would like to use this to send you text messages relating to your health. This may include reminders of appointments, and health campaigns e.g. Flu, Shingles etc. Your details will only be used by the practice and never shared. You also have the option of providing us with an email address, which can be useful in the event that we need to share documents with you. Please note - the security of your own email provider is beyond our control.

I consent to the use of my mobile number for communications:(Required)

Yes

No

Only for phone calls, not for SMS services

Mobile number

I consent to the use of my email for communications:(Required)

Yes

No

Email address (if applicable)

Name(Required)

Date of Birth(Required)
DD slash MM slash YYYY

Clarkston Medical Digital Register

Patient Access Register

Opening Hours

Out of Hours

Contact

Address