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.
Please allow at least 2-3 days for the forms to be downloaded, and if possible phone us or email us to check the forms have been downloaded, before visiting the surgery with your proof of ID as detailed below, or emailing ID proof to the surgery.
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, OR email to firstname.lastname@example.org:
- 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.