Email Marketing -

Patient Portal Registration

Please use this form to notify us you would like an invitation link to Vensa, the patient portal used at QMC. The patient portal allows you to view your health records, lab results, contact the practice, order repeat medications and book appointments.

First Name *

Last Name *

Date of birth *

Email Address *

Phone *

If any of the above contact details are different to the ones you registered at QMC with, please let us know below what the previous contact details were.

By submitting this form you are requesting for the admin team at QMC to send you a patient portal registration link by email. We will also update your contact details on our system if any have changed since you registered with us - as long as you are able to provide the previous contact details. We may need to contact you if there are any discrepancies.