New Patients Registration Form

In order to register as an NHS patient you must, be living within our practice boundary area.

Unfortunately if you are not within our practice boundary you cannot register with us.

Registration Policy – V1.5: please check this before completing your registration form.

Please fill out the registration documents below:

• New Patient Registration Form
• Adult Patient Questionnaire
• Under 18 Patient Questionnaire 

Postal Registrations

Please print out the registration documents below, complete in block capitals and hand in to reception.

Post these forms back to reception, but please note that if the forms are not completed properly and in block capitals or the GMS1 form is not signed this will delay your registration.

Please remember to sign the GMS1 form or you will be unable to register at the practice.

Patient Access to Full Medical Records

Please note from 01.04.2021 patients will be able to request full access to their medical records, to gain access please see the forms attached and return to the surgery:
Online Registration Form – V1.2
Online Access – Proxy Consent Form – V1.1

For further information please see the Patient Policy: Online Access – Patient Policy – V1.2