1) Please download the EMIS Access application form in one of the following formats:

Emis Access Application in Microsoft Word

Emis Access Application in Adobe Acrobat PDF

click to download the latest Acrobat reader

2) Print off the page

3) Complete the form

4) As this form must be signed please drop it off at the Surgery or post it to:

Vine Surgery (EMIS Apps Dept)
Hindhayes Lane
Street
Somerset
BA16 0ET

Once processed we will send you details in the post so you can start using the online booking facility.