Patient Registration


Please note it takes 72 hours from receiving the required documentation to register a patient.

Under our contract to the Primary Care trust, we are only allowed to register patients who reside within the practice boundaries. Please see the map in the surgery for full details of our boundaries.

We currently have some patients who registered prior to the boundaries being set and live outside the boundaries; we are allowed to keep these patients on our books until their next move where if they stay outside the boundaries they must register with their local practice.

As off 1st of May 2008 we need proof of residency prior to being able to register patients. Any of the following documents will be accepted as Proof of Residency:

   Rent book

   Utilities Statement

   Bank/credit card statement

We only require sight of the document and do not need to see any personal details other than the Name and Address.As part of the registrations process we ask you to sign our patient’s charter (see link on the right).

Pre-Registration with the practice

If 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.

What should I do if I fall ill when I’m away from home?

If you are ill while away from home or if you are not registered with a doctor but need to see one you can ask to be registered as a temporary patient at a nearby GP practice for up to three months. This process allows you to make use of a local practice but still remain a patient of your permanent GP practice at home. However, after three months, if you still wish to access this practice you will be required to permanently register.

If you wish to register with us as a temporary patient simply contact the practice directly.

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 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.

Online medical questionnaire for new patients

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, fill it out and bring it in with you on your first visit to the practice.

Registration Form


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