PLEASE ENSURE THAT YOU READ THE WHOLE OF THIS PAGE AND FOLLOW THE INSTRUCTIONS FULLY - COMPLETION & SUBMISSION OF THE REGISTRATION FORM ALONE IS INSUFFICENT FOR US TO REGISTER YOU AS A PATIENT
If you wish to register as a patient 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.
This enables us to pre-register you.
Next you will need to complete a medical questionnaire and an alcohol screening test form. This is because it can take a little while before we receive your records from your previous surgery. Please download the documents below, as appropriate, print, and complete fully.
New Patient Questionnaire - Adult
New Patient Questionnaire - Child
Alternatively all these forms are available at the Reception Desk.
Next you will need to come to the surgery with the above mentioned documents to complete the registration process. In addition you will need to provide us with two forms of identity as listed below. Please ensure that you bring the original documents for both the photo identity and the proof of address
- Photo Identity – a valid passport or driving licence are acceptable, and
- Proof of Address – a utility bill, council tax statement or bank statement showing your name, address and date are acceptable
Checklist to register as a patient (Required for each patient to be registered)
- Photo Identity
- Proof of Address
- Registration Form (Completed & emailed)
- New Patient Questionnaire (Completed)
- Alcohol Screening Test (Completed)
Please be aware that each of these documents is required to enable us to start the full registration process – if there are any missing we will not be able to take any documents and this will delay the registration process.
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.
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.