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Patient Registration & Change of Address

If you wish to pre-register at this practice, click on the link below to open the form.  When you have completed your details, click on the 'send' button to mail your form to us.  If, for any reason, we are unable to register you we will contact you to let you know.

When you register at the practice you will be allocated a named  doctor who will take responsibility for the coordination of services provided to you and ensure they are delivered to each of their patients where required.  You will be notified of the doctor's name at the time you register.

Pre-registration Form


IMPORTANT

You then need to visit the surgery as soon as you are able to complete the registration process by signing the form and bringing in TWO forms of identity (as below):

  • Photo Identity - your passport or a photo driving licence are acceptable.
  • Proof of address - utility bill, council tax bill, bank statement or other official letter showing your name and address


You will also be asked to complete a medical questionnaire.  This is because it can take  some time before we receive your medical records.  If you wish you can download the questionnaires below, as appropriate, complete and bring them with you when you visit the surgery to complete your registration.

New Patient Questionnaire - Adult (Word Version)

New Patient Questionnaire - Adult (PDF Version)

New Patient Questionnaire - Child (Word Version)

New Patient Questionnaire - Child (PDF Version)

Alcohol Screening Test (Fast)

We need all of this information to be able to create a record for you on our computer system so that we can offer you a full range of services, including appointments and repeat prescriptions.


Alternatively you may print off the registration form and new patient questionaire, fill it out and bring it in with you on your first visit to the practice.

Registration Form

Change of Address

Please let us know as soon as possible if your address changes.

You may use the online form below to notify us of your change of details. The form will open in a new window. Fill out the details and press the Send button.

Change of Address Form

If you don't wish to use the online form then drop into the practice and pick up a paper form.



 
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