Friendly, efficient healthcare

Application for Online Record Management

SystmOnline Application Form

Use this form to register for online services using our SystmOnline software. Once you are registered you will be able to use the service to order your repeat prescriptions, make amendments to and cancel an appointment, change your contact details, review your medications and known allergies and view your medical records.
  • Our online system is called SystmOnline - yes, that is how it is spelt (with a missing 'e')! Please complete all the information contained in this form. You can upload photographs of your identification or you can visit the surgery with your ID for us to verify. Information provided will be cross checked with the information we currently hold. In the event of discrepancies we will contact you prior to granting access to our online services. We aim to set accounts up within two working days, however this may sometimes take longer during busy periods. Please contact the surgery at ssmc.sunnyside@nhs.net if you have any questions. **PLEASE NOTE - This form is for existing Sunnyside Patients only - you cannot register to become a Sunnyside Patient using this form. We are not currently registering new patients**
    Please choose one or more reasons for completing this form. You can use this form to - request access to online services using SystmOnline - request that we send a reminder of your username - request we reset your password - tell us about new contact details (telephone or email address) You can select as many options as you like - if we need further details we will (usually) send you a text message.
  • DD slash MM slash YYYY
    This helps us to match up your details to your medical record.
  • This helps us to match up your details to your medical record.
  • This is required for online account verification.
    Please tick all that apply. Ticking both will enable us to contact you quickly and easily.
  • For general comms, how would you prefer us to contact you? Please note, the majority of patients find SMS text messages are received and are easier to action than email. We try to avoid using post as the costs and time delays are considerable.
    Please text me a log on I.D and password to enable me to access the SystmOnLine website/application.
  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.
      Please upload a picture of your identification. We require 2 types - one photo ID (such as a driving licence) and one proof of address. If you would prefer, please bring submit the form without ID and visit the surgery for us to verify. Your ID must match the information we hold on our records. Please do not upload any medical or clinical information.