Request for a My Health Online Account

My Health Online is a new online service brought to you from NHS Wales. My Health Online offers patients the convenience to:

  • Order repeat prescriptions online
  • Change your contact details

If you wish to register to use My Health Online please complete this form. To protect patient confidentiality you must provide documents so we can make sure you are who you say you are.

Please attach identification, preferably photo ID (e.g. driving licence or passport).

Request for a My Health Online Account
SMS Text Messaging is a service offered across Wales where all GP Practices have the ability to send text reminders for appointments and information about services to patients. Are you happy to be contacted via SMS Text Messaging? *

Patient Details

Please use date format: DD/MM/YYYY
Preferred language: *

Please create a My Health Online Account and issue me with a letter containing my account details.

Please attach identification, preferably photo ID (e.g. driving licence or passport)
Maximum upload size: 67.11MB