Request for a My Health Online Account
My Health Online is an online service brought to you from NHS Wales. My Health Online offers you the convenience to book appointments online (when available). Depending on your practice you may be able to order repeat prescriptions online or change your contact details.
If you wish to register to use My Health Online please fill in the boxes below.
Once you have submitted the form a member of staff from the practice will contact you within 48hrs to complete the registrations process. To protect patient confidentiality please be aware you may be asked to provide identification documents so we can make sure you are who you say you are.
Alternatively, patients can hand deliver the form and documentation to the Practice letter box or post a copy of identification documents to the practice as verification. The Practice may choose to follow up receipt of registration form and ID by calling the patient. Click here to download the form (DOCX, 92KB).
Request for a My Health Online Account
Privacy Protection
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Learn more about our Privacy Policy and
Terms of Use.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.