Online 'Pre-Registration' with the Practice

PreRegistrationIf you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will need to bring a printed copy along with you where will be asked to sign your form to confirm that the details are correct.

Pre-registration Form

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and print to save time in the surgery.  Please bring this along when you present your identification to the surgery. On arrival to the surgery you will be asked to sign your form to confirm that the details are correct. You will be given a copy of the practice policy and there is a requirement to bring along your documentation.  An appointment will be given for a health screening before registration is complete.

You will be asked to complete a questionnaire on arrival at the surgery.

All children under the age of 16 will be requested to bring along a copy of their birth certificate.

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.

Please print off your registration form, fill it out and bring it in with you on your first visit to the practice.

pdfRegistration Form

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