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New Patient Registration

If you wish to pre-register with our practice please complete all of the details on the form below. Click on the “Send” button to deliver your completed form to us.

When you visit the surgery, which you must do within 2 weeks, you will be asked to confirm that the details are correct and provide two forms of identity to confirm who you are and your address. You will not be registered until your identity and eligibility for registration has been confirmed.

Sending this form does NOT automatically register you with the practice or even imply that you will be accepted onto the practice register

Application to Register with a General Medical Practitioner

Preliminary Questions

Please answer these preliminary questions to allow us to structure the the form to only present questions relevant to you.
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