New Patient Registration
You must ensure that you live within our Practice Boundary before completing this form.
If you have recently moved into the area and live at a permanent address within our practice boundaries (Practice area map here), then we will be able to register you with our practice.
All new patients are asked to complete a health questionnaire and a registration form. These require various details, such as your previous address, address of your last GP, medical history etc. These forms are required as your medical records may take time to arrive at the practice from your previous doctors. You can complete this form online further down the page.
Please bring your medical card when registering at the practice and a form with details of identification and your address.
If you only have a temporary address, or are outside of our practice boundaries, then we will be unable to register you.
If you have a specific request or situation that you wish to raise, then please put this in writing to the senior practice co-ordinator. This request will be considered by the practice and a written response will be given.
All our patients are provided with a named GP. However this doesn't prevent patients seeing any doctor of their choice at the practice.
We have two online applications Patient Access and NHS App. Both applications will allow you to book appointments, access your medical records and manage your medication. For more information don’t hesitate to ask at reception.
Before completing the form below, download information on online services here (DOCX, 20KB) and read this first.
Find your NHS number here
Named Accountable GP information
If you have recently moved into the area and live at a permanent address within our practice boundaries (view the practice area map here), then we will be able to register you with our practice.
Please help us trace your previous medical records by providing the following information
Were you ever registered with an Armed Forces GP
If you need your doctor to dispense medicines and appliances*
PATIENT DECLARATION for all patients who are not ordinarily resident in the UK
NON-UK EUROPEAN HEALTH INSURANCE CARD (EHIC), PROVISIONAL REPLACEMENT CERTIFICATE (PRC) DETAILS and S1 FORMS
New Patient Questionnaire
Alcohol
Carers
Privacy Protection
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Learn more about our Privacy Policy and
Terms of Use.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.