New Patient Registration
If you live within the area covered by the Practice ask for a registration form from Reception. As soon as your completed forms are returned your details will be put on to our computer system and an application will be made for your existing medical records to be transferred.
We will contact you to book an appointment for you to meet one of the doctors or nurses. This is important in order to review your medical history and assess your current needs. If you are a carer or look after a husband, wife, relative, friend or neighbour, please let us know.
Please check that your address is within our area on the interacticve 'Practice Boundary' map before you register with us. (currently unavailable - please speak with the Registration Clerk)
Pre-registration with the Practice
If you wish to pre-register click the link below and complete the online form - you must also download and return the Health Questionnaire (see below)
When you have completed all of the details, click on the "Send" button to mail your form to us.
You will also need to download the Adult/Child Health Questionnaire and email the forms to firstname.lastname@example.org. This is because it can take a considerable time for us to receive your medical records.
We are not able to complete the full registration until you visit us to sign the form. We will also need the Health Questionnaires for all patients completed at this time if they have not been emailed into the surgery.
Please bring photo i.d. (passport or driving licence) when you attend the surgery to sign the pre-registration form.
We will then continue with the full registration and request your records from your previous surgery.
Please download and complete the relevant forms below and email to email@example.com
Adult Registration Health Questionnaire
Child Registration Health Questionnaire
Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.