Online 'Pre-Registration' With The Practice

PreRegistrationYou can save yourself some time by filling in a pre-registration form and sending it to us using the "Send" button.  If 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.  Your registration is not valid until you have visited the surgery and signed your application in person.  The surgery also reserves the right to refuse registration in certain circumstances. 

In order to complete your registration with us you will still need to come into the surgery with photo ID (such as passport or driving licence) and proof of your address (eg Council Tax bill for current year, bank or solicitor letter).

Pre-registration Form and Online Medical Questionnaire For New Patients

When you register you will also be required to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records.  When you come to the surgery you will also be asked to sign this form to confirm that the details are correct.

If you want access to your medical records please also fill this form in:

Patient Access to Medical Records Request Form

Data Sharing for the Purpose of Your Direct Care.  Please also complete the form below with your choices on sharing your data:

Data Sharing for the Purpose of your Direct Care

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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