Pre-Registration with the practice
If 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. You will need to come to the surgery to sign the form to confirm that the details are correct and provide ID
You should only send this form if you are sure that you are eligible to join this practice.
Sending this form will NOT automatically register you with the surgery.
Your details will be held at the surgery for a limited period of time. You are required to present in person to sign your registration form and provide proof of your address
Sending this form does NOT guarantee or even imply that you will be accepted onto the practice register
PLEASE NOTE YOU WILL NEED TO PROVIDE 2 FORMS OF ID. ONE OF WHICH NEEDS TO BE PHOTOGRAPHIC AND ONE WITH YOUR NEW/CURRENT ADDRESS. We can accept 2 of the following pieces of ID when you register.
Photo Driving licence
Property Rental Agreement
Utility Bill (current address within the last 3 months)
Mobile telephone contract account
Photo Bus Pass
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 send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.
Online medical questionnaire for new patients
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.
Alternatively you may print off a registration form, fill it out and bring it in with you along with your ID.