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Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to pre-register 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. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct. You will also need proof of address when you attend surgery to sign the forms.  Your registration will not be acted upon until you attend to sign the forms, provide the relevant documentation and also attend for a new patient health check.

PLEASE ENSURE THAT YOU COMPLETE BOTH THE PRE-REGISTRATION FORM AND THE MEDICAL QUESTIONNAIRE OTHERWISE YOUR REGISTRATION WILL NOT BE PROCESSED

New Patient Questionnaire

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.

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

pdfRegistration Form

 

 
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