Register for Airmid or SystmOnline - Trinity Medical Centre

Register for Online Services

Non-urgent advice: PLEASE NOTE

If you have previously used Airmid or SystmOnline and have forgotten your login details, please email us at trinity.medicalcentre@nhs.net to have your login details reset. You do not need to complete the form below if you have already used these services.

If you are requesting online access on behalf of another patient, please visit this page for more information. You may need to visit the surgery to request a paper form.

Complete the form below to register for AIRMID or SystmOnline for yourself.

Your account details will be sent to either your mobile number or email within 30 days of submitting the form.

If we hold conflicting information on your record such as a different contact number or email, we may not be able to complete your request due to mismatching information and may contact you to further clarify.

First Name

Last Name

Date of Birth

Address

Street Address Address Line 2 City Postcode Country

Enter Email Confirm Email

Phone

If you are requesting access to your child’s record or anyone else’s record other than your own, please note that this is not the correct form. Such requests will be rejected. To access another person’s record, please visit our website: https://www.tmcwakefield.co.uk/practice-information/access-to-medical-records/

Please select which of the following applies

I am 16 or above and am requesting online access to my own records

I am aged 12-15 and am requesting online access to my own records (Please note an appointment with a GP is required before access can be granted)

Type of Access Requesting

Basic Access (Appointments, Prescriptions, Online Messaging)

Full Access (Basic Access + Full Online Medical Records)

Signature

I agree to the terms outlined above and confirm that all information I have provided is true and accurate. I also confirm that I am submitting this form to request my own record and not to obtain or access anyone else’s record on their behalf.