Patient Registration

Patient Registration

New patients are always welcome.

To register for the practice please complete the below registration form and email it to us at [email protected]. Alternately you can post this to us.

GMS1 Registration Form

New Patient Questionnaire - Adult

New Patient Questionnaire - Child

You are also able to register with us if you are homeless.

Temporary registration for up to 3 months is available for people who are temporarily resident in the practice area, for example they are staying with friends or relatives.  A form is available from reception to complete. Please bring photographic proof of identity when returning the form.

Non-English Speakers

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups. Open the leaflets in one of the following languages.

English	Urdu
Albanian	Hindi
Arabic	Lithuanian
Bulgarian	Polish
Chinese (Cantonese)	Portuguese
Chinese (Mandarin)	Spanish
Russian	French
Turkish	Punjabi
Gujerati	Somali
Croatian	Bengali
Farsi

Data Protection

Please read our Privacy Notice, updated in line with General Data Protection Regulations.

Privacy Notice

Access To Records

If you require access to any part of your medical record, please download and complete the below form.  Please note that if you require someone else to collect your records on your behalf, your signature on the form will have to be witnessed by a member of staff at the surgery.

Please note that it may take up to one calendar month to provide the information requested, and that repeated requests for the same information may attract a fee.

SAR Form