Online Access Forms

Application forms for online SystmOnline access

 

For patients aged 16 and over

Online access form over the age of 16

Online access form over the age of 16 including proxy access for registered carers

 

For patients aged 13-15 inclusive

We do not offer SystmOnline online access for patients in this age group. We direct patients of this age to register with the NHS app.

 

For patients aged 11-12 inclusive - proxy access 

Online Proxy Access 11-12 year olds

 

For patients aged 0-10

Proxy access can be granted without completing a form, please email us at castlemedicalgroup.noreply@nhs.net to request this, including yours details and the details of the person you would like proxy access too.

Patient consent form

To authorise someone else to discuss your medical records with us, please complete this form and ensure it is signed by you, the patient, and presented to our practice staff in person with ID, or else it will not be processed.