Register for online services

Please complete the following online form and then email us copies of your proof of ID and address to: cpicb.cottenhamsurgery@nhs.net or visit the surgery.

Title(Required)

Date of birth(Required)
Your email address(Required)
I wish to have access to the following online services(Required)
Please tick all that apply
Your identity(Required)
To register for Online Services we need to verify your identity. So, please provide the practice: One photo ID such as passport or drivers licence and one form of ID with your home address on such as a recent utility bill or bank statement.
Not for urgent medical help(Required)

 

Date published: 14th June, 2023
Date last updated: 14th June, 2023