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Pre-Registration with the practice - please note we have capped our list therefore we cannot register patients until further notice. June 2016

PreRegistrationIf 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. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct and in addition you will be asked to provide identification.

You will need to supply two forms of identification, 1: Picture ID - ie. passport, driving licence, ID card.  2: Proof of address - ie. utility bill, bank statement.

Unfortunately you will not be able to register without providing any form of ID.

Pre-Registration with the practice - please note we have capped our list therefore we cannot register patients until further notice. June 2016


Pre-registration Form please note we have capped our list therefore we cannot register patients until further notice.

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 please note we have capped our list therefore we cannot register patients until further notice.

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 on your first visit to the practice.
 
 

Registration Form

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