All fields are required.
Enter the activation code as it appears on either your after visit summary or discharge summary. You will not need to use this code after you complete the signup process. If you have used the link in from an activation email, use the code already be populated in the box below.
Enter your date of birth in the format shown, using 4 digits for the year.
Enter your postcode in ALL CAPITALS including the appropriate space between characters eg. NW1 2BU