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Patient Registration

You can register by completing a registration form (available to download here). Copies of this form are also available from the Practice reception. Please bring the completed form along to reception with your medical card if you have it.

The information on the medical card will speed up the process of getting your records from your previous practice. Once you have been accepted as a patient your medical records will be transferred to us and a new medical card will be sent to your home address. You do not need to inform your existing practice that you are moving, although it may be courteous to do so.

When you register, we will ask you to make an appointment to see our Practice Nurse for a new patient health check. This will make sure that our records are accurate and all routine checks to promote your health and wellbeing (such as blood pressure/smear tests/mammograms) are up-to-date.

THIS FORM IS TO BE COMPLETED BY PROSPECTIVE PATIENTS
Complete all sections otherwise we will be unable to process your request.

Practice Area Map

Please enter your postcode in the postcode checker below to see if you are within our practice area:

 

Patient Registration

IMPORTANT NOTICE: NO GP Home Visits Outside Our Practice Boundary

PLEASE COMPLETE ALL THE QUESTIONS BELOW
SMOKING STATUS
ALCOHOL CONSUMPTION
DO YOU SUFFER FROM ANY OF THE FOLLOWING MEDICAL CONDITIONS?
(You can have your height, weight and blood pressure measured any time at reception – please ask for a token)
(You can have your height, weight and blood pressure measured any time at reception – please ask for a token)
(You can have your height, weight and blood pressure measured any time at reception – please ask for a token)

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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