New Patient Registration

We ask you to use our online registration applications. Please DO NOT come to the surgery.  All registration forms must be completed online. If you have any problems completing the forms, please call the surgery 01905 879100

You can register online by completing the two forms below by clicking the links 

Please note that your Registration cannot be processed unless both forms are completed

Please complete with the following information: 

 

• Application to register with General Medical Practitioner mandatory information required 

 

o Date of entry into the UK - date you first came to live in UK including date you may have left the UK and returned 

o NHS number if known 

o Your last known previous address in UK only applicable if you have lived in UK before 

o Name and address of previous GP while at previous address only applicable if you have lived in UK before 

o if you are from abroad - Your first UK address where registered with a GP 

o A UK mobile number or landline number in the UK (unable to accept international telephone numbers) 

 

• New patient Health Questionnaire for Adults 

 

Please complete both forms as fully and accurately as possible to avoid any further delay. 

 

An application to register and a new patient health questionnaire for adults is mandatory. 

 

As soon as the surgery are able to complete your registration you will be advised by text message.

Registration form

Complete health records form (all patients)

Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide below.

pdf A Patient Guide to GP Services

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