Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to register with the practice please click on both of the links below to open the form. When you have completed all of the details, please print and bring the form to the surgery with you. In order for us to process your registration we will need you to provide photographic identification e.g. passport or driving licence and also proof of address e.g. utility bill.

Registration paper

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.

Health Questionnaire.docx

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.


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