Register a Patient
To register as a patient, you need to live within our practice boundary.
Due to the ongoing situation with COVID-19, we are reducing footfall into the practice.
If you wish to register with the surgery, and you live in our catchment area, please download ALL forms and email them to firstname.lastname@example.org with attached proof of address and ID. If you are unable to email the forms to us, please post them through our letterbox with attached copies of your proof. Please make sure all documents are completed, or we will unable to process your registration.
- Family Doctor Services Registration – GMS1
- New Patient Registration Form
- Patient Online Access Registration Form
- Alcohol Use Disorders Identification Test For Consumption
- HSCIC Data Sharing Opt Out Form
ID needs to include one photographic ID (such as a passport or driving license), as well as one proof of address (such as a utility bill, bank statement, tenancy agreement or mortgage agreement).
Please be aware that all forms need to be completed to register as a patient.
Registering a Patient Under the Age of 14
If you are registering a patient under the age of 14, please complete the forms below: