New Patient Registration Form (PRF1)(printable copy)
Leaflet for Visitors from Overseas and Charges
You can now register online
There are two forms to complete. You must complete both forms.
- Please follow this link to complete the online registration form
- Please follow this link to complete the new patient health questionnaire
Forms for younger patients
Summary Care Record Patient Consent Form
All patients aged 16 or above can choose what information you’d like to share and with whom.
Complete your Summary Care Record consent form online
Registration information
We have an open list and welcome requests for registration from patients living in or moving to the practice area.
You can register by bringing along your NHS medical card or completing a form available from reception. You will need to bring your NHS number if you do not have a medical card as this is used to trace all of your previous records.
We can apply for a new medical card on your behalf when we send in your details to the PCT.
You will be asked to fill in a new patient questionnaire about your health and personal details.
HOME VISITS must be phoned through to Brandon Road before 10.30am, this service is only for patients who cannot physically get into surgery.
As from the 5th January 2015 practices in England can consider registering patients outside of the practice area where it is practical and clinically appropiate to do so. Patients registered in this way would not be entitled to a home visit from the practice and would have to register as a temporarily with another surgery for treatment
ALL patients registering with us are given a named doctor as part of the registration process. However a patient is able to choose any doctor when they need the practices services. Once registered you will be offered an appointment with the practice nurse, this will give you the opportunity to have a medical check up and identify any potential problems
Application for registration
If you wish to register with our practice please click on the blue link at the top of this page. (Fill in the registration form ) Bring the form along with you to register with us at either site. If you have difficulties filling in the form the reception staff will be more than happy to help you complete it.
Download our Practice Leaflet for information about the Practice
