Patient Access Registration Form

This form is only for REGISTERED PATIENTS. If you are not a patient of the Grays Inn Medical Practice please complete our registration form

Please be aware that the practice policy only allows for patient’s aged 16+ to sign up for Patient Access

I agree to the above Terms and Conditions
Click or drag a file to this area to upload.
We require an image of your Driver's License, Passport or other Photo ID to verify your identity

After completing the Patient Access registration form,the practice will email you to provide you access to your account login details

Having trouble attaching your photo? Download our form and send it to us with your photo ID at

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