Register for Online Services

To register for our online services you will need to complete this form. We will then issue you with a username and password.

Alternatively, you can visit the practice or you can visit www.patient-services.co.uk and register yourself

Your Details

Name *

Date of Birth *

Address *

Mobile Number *

Email Address *

I consent to being registered for online services and I confirm I am registered at Liffock Surgery *

Yes

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Page last reviewed: 24 May 2023
Page created: 19 October 2022

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