Online 'Pre-Registration' With The Practice
To assist access to health care during Covid, we are accepting online registrations. Please complete the form below. When you have completed all of the details, click on the "Send" button to mail your form to us. Please note that all fields with a red asterix must be completed. If you do not have the information requested in any of the fields please type "none". Please note that if you are already registered with a GP locally we will not accept your registration at the moment. This is to allow us to prioritise services those patients who do not have a GP during the current pandemic.
Please photograph or scan and send your I.D via email to firstname.lastname@example.org. (A passport (page with photo) or I.D card or birth certificate AND 1 proof of address such as a utility bill showing your name and address).
When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that 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.
Alternatively if you prefer, you may print off a registration form, fill it out and bring it in with you on your first visit to the practice with your ID.