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Online registration with the practice

PreRegistrationIf you wish to register online click on the links below to open the forms - YOU MUST FULLY COMPLETE BOTH FORMS. 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 be required to provide documentation to verify your identity and address.

Form 1 of 2 : Registration form

Form 2 of 2 : Health Questionnaire

Please also refer to the 'Accessibility Information' tab on the right hand side if you have any specific communication needs that you would like to make us aware of.

As part of the registration process you are asked to fill out a medical questionnaire as it can take several weeks to receive your medical records from your previous surgery. When you come to our surgery you will be asked to sign this form to confirm that the details are correct.

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Please note : you will not be registered as a patient of the practice until you have:

1. Provided a fully completed Registration form and a Medical Questionnaire

2. Provided proof of your address and identity

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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.

 
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