Register for Online Services

We accept online requests for both Evergreen Life and Patient Access with choices to register with E-Life and Patient Access.

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

Once you are registered you will be able to use the service to:

  • Order your repeat prescriptions
  • Make an appointment
  • Cancel an appointment
  • Change your contact details
  • Review your medications and known allergies

Register for Online Services

Please use this date format: DD/MM/YYYY.
This service is for patients over 16 years old with their own email address. Email address must be unique and cannot be a shared address.

Please tick all that apply.
I wish to access my medical record online and understand and agree with each statement: