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New Patient Questionnaire

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. We then need you to come, in person,  to the Practice within 14 days with photographic proof of identity (drivers licence, passport etc), proof of address (utility bill, bank statement) and proof of eligibility to access NHS services (NHS number which you can obtain from your previous Practice)

Pre-registration Form

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, print and bring with you when you visit the Practice.

During the current pandemic, you do not have to present your proof of identity at the time you register, as long as you have submitted both the pre-registration form and the New Patient Questionnaire. Please email your completed New Patient Questionnaire to:

k83019.discharges@nhs.net

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 the registration forms, fill them out and bring them to the practice.

01327842360

 
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