If you wish register online, you will need to pre-register. Please 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.
Once completed, along with the questionnaire below, please visit the surgery after 12noon to present the necessary forms of identification referred to below. New patients will not be registered at the practice until this has been processed successfully and the relevant forms signed.
Online Adult Medical Questionnaire
When you pre-register you also need to complete an Online Medical Questionnaire for New Adult Patients. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file available for adults only, which you may complete and send to us electronically.
Online Medical Questionnaire for Adults
You will then be required to visit the surgery after 12noon, to present:
- photo identification (eg passport, driving licence, student card)
- proof of address (eg utility bill, bank statement dated within the last 3 months)
For registration of children please ask the Reception Staff for a form on visiting the surgery.
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.