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Download Registration DocumentsPreRegistration

If you wish to register with us, download the forms below.  Once you have filled in all of the details, bring the completed forms to the surgery with photographic identification. 

 

pdf  Patient Information Form (sorry this is currently only available from the surgery reception)

pdf  Child and Family Transfer Information Form - to be completed for all children up to the age of 19 (sorry this is currently only available from the surgery reception)

pdf  Application to Register with a General Medical Practitioner

Subscribe to the newsletterSummary Care Record Opt Out form - Click here for further information about the Summary Care Record.

Subscribe to the newsletterEDSM Sharing your Medical Records consent form. - Click here for further information about sharing your records.

Subscribe to the newsletterCare.Data Opt Out form - Click here for further information about Care.Data sharing

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