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Online registration with the practicePreRegistration

If you wish to register with the surgery click on the link below to open the registration form. When you have completed all of the details, click on the "Send" button to mail this to us. When you visit the surgery for the first time you will be asked to sign the form to confirm the details are correct.

Registration Form - (once completed, please fill in the medical questionnaire next)

As part of the registration process, you are required to complete the online registration form AND the medical questionnaire below. This is because it can take a considerable time for us to receive your medical records. There is an online version of this below which can be completed prior to you visiting the surgery in order to save time at your first appointment. You will also be asked to sign this form when you attend to confirm the details are correct.

Online medical questionnaire for new patients

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. You will NOT be registered at the practice if you have not completed the registration form AND the medical questionnaire.


Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

Registration Form

 

Date updated: 16/09/2011

Noticeboard

If you would like to rate our practice via the NHS Choices website, please click  here . 

If you would like to contact the surgery directly to provide feedback or comments please contact us via the "contact details" section. This will help the Practice Manager to look at ways of improving our service.

Should you wish to make a complaint, please visit the policies section of our website to download the appropriate form.     

 
NHS ChoicesDepartment of HealthMy Surgery Website