We welcome new patients who live within our practice area to register with us!
OR use the form below, fill out & email/hand back
AND Please also fill out the Health Form below & email/hand back
Email forms & supporting documentation (see below) to: email@example.com
Supporting Documentation to Include
If possible, we ask that you provide identification (photographic preferred for adults; birth certificate for children) and proof of address upon registration. This is to help us match you to any pre-existing NHS records. Nobody is required to provide supporting documentation; it is simply very helpful if you have it.
View our short flyer and detailed surgery information leaflet:
Children (<18) & Adults who need help making decisions
For children, some over 13 may be competent to self-register but we ask (if possible) that an individual with parental responsibility apply on their behalf. We ask that this individual provides proof of parental responsibility (e.g. identification matching the parent name on the birth certificate) and proof of address.
For adults who can not make their own healthcare decisions (lack capacity), a relative, primary carer, lasting power of attorney or court appointed deputy may apply on their behalf.
We aim to complete registrations within a week and will normally invite you to a new patient telephone appointment. We will inform you within 14 days if we cannot accept you onto our list.