HOW DO I...
REGISTER?

If you are resident within our practice area (please see map) and would like to register with the practice, please speak to one of our receptionists who will explain the procedure and help with the completion of the registration form.

Please note that the practice does not discriminate on the grounds of race, gender, social class, age, religion, sexual orientation or appearance, disability or medical condition.

When registering as a new patient you will be asked to complete a questionnaire in order to ensure that our computer holds an accurate record of your past medical history. We will arrange for you to have a new patient health check with the healthcare assistant within three months of registering. Patients need to inform the practice of any change in personal details eg telephone number, address or surname. Confidentiality will remain of prime concern.

Please note that the practice does not discriminate on the grounds of race, gender, social class, age, religion, sexual orientation or appearance, disability or medical condition.

PATIENT PREFERENCE OF PRACTITIONER

Patients are registered with the practice, not an individual GP. For administrative reasons your medical card will be issued in the name of one of the doctors; however, you can at any time express a preference for a particular doctor, for either all of your medical needs or on a case by case basis. However, not all the doctors in the practice provide all services and specific doctors may not be immediately available.

ONLINE REGISTRATION

To register online please complete the form below-

REGISTER DETAILS   Title: Please select Mr Mrs Miss Dr Proff Other (please specify) Date of Birth: Town & country of Birth: NHS no. (if known): Sex: Please select Male Female Surname: First Names: Telephone: Mobile: How you describe your ethnic origin? Email Address: Address:   Postcode: Are you a carer for a sick/elderly person(s)? Please select Yes No Previous medical records Your previous address in the UK   Postcode Name of your previous doctor at that address Address of previous doctor Are from abroad? Please select Yes No Your first UK address where registered with a GP If previously resident in the UK, date of leaving Date you came first came to the UK Are returning from the Armed Forces? Please select Yes No Address before enlisting   Service/Personnel No.:   Enlistment date: NHS Organ Donor Registration I would like to join the NHS Organ Donor Register as someone whose organs may be used for transplantation after my death. Please select Yes No Please check as appropriate:- Kidneys Heart Liver Corneas Lungs Pancreas Any part of my body CONFIDENTIALITY - TERMS AND CONDITIONS: The internet is not secure, and the transmission of this data is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions. I accept the terms and conditions above On receipt of your completed application, we will send you a pack with details of our practice and contact you to organise a new patient check.