New Patient Registration - Adults
Before you register with us – please check our Practice Area Map to make sure you are in our practice area.
Please download the below forms. You can either send the completed forms in the post, or complete an online form combining the GMS1 and new patient questionnaire further down this page.
We aim to have your registration complete within 3 working days.
Essential information we require:
- Name and address of your last doctor
- The address at which you were registered with that doctor
- If you are from overseas, your place of birth and the date you arrived in the UK
- Your signature
Every patient is now allocated a named GP. This may be different from the GP you usually see. This does not change the way you book appointments. It means that one GP will have overall responsibility for your care at the surgery. The practice will make reasonable efforts to accommodate any requests regarding any preferences to be with a specific GP. Should you wish to know your named GP please contact Reception.
We recommend all patients sign up to online services. If you wish to do this, wherever possible please provide a mobile number so the practice can text you with your username and password.
We can supply you with a new patient registration form at the practice if you struggle to fill these out electronically.
Both the GMS1 Form and the New Patient Registration Form MUST be filled out in order for us to accept your registration.
If you are under 18 years old, or are filling out a form on behalf of a child – please fill out the Child New Patient Registration Form instead. Please make sure to still fill out the GMS1 Form for children.
A registration form must be filled out each individual person.
GMS1 Form (.pdf, 206KB)
New Patient Registration Form (.docx, 60KB)
Child New Patient Registration Form (.docx, 45KB)
Click here to complete the child registration form online.
As a new patient, you are invited to have a registration health check. Please make an appointment with one of our practice nurses. You will need to bring a urine sample with you to this appointment.
New Patient Registration - Adults
Please help us trace your previous medical records by providing the following information
Were you ever registered with an Armed Forces GP
If you need your doctor to dispense medicines and appliances*
* Not all doctors are authorised to dispense medicines
NHS Organ Donor registration
Please tell your family you want to be an organ donor. If you do not want to be an organ donor, please visit www.organdonation.nhs.uk or call 0300 123 23 23 to register your decision.
NHS Blood Donor registration
All blood types are needed, especially O negative and B negative. Visit www.blood.co.uk or call 0300 123 23 23.
PATIENT DECLARATION for all patients who are not ordinarily resident in the UK
Anybody in England can register with a GP practice and receive free medical care from that practice. However, if you are not ‘ordinarily resident’ in the UK you may have to pay for NHS treatment outside of the GP practice. Being ordinarily resident broadly means living lawfully in the UK on a properly settled basis for the time being. In most cases, nationals of countries outside the European Economic Area must also have the status of ‘indefinite leave to remain’ in the UK. Some services, such as diagnostic tests of suspected infectious diseases and any treatment of those diseases are free of charge to all people, while some groups who are not ordinarily resident here are exempt from all treatment charges. More information on ordinary residence, exemptions and paying for NHS services can be found in the Visitor and Migrant patient leaflet, available from your GP practice.
You may be asked to provide proof of entitlement in order to receive free NHS treatment outside of the GP practice, otherwise you may be charged for your treatment. Even if you have to pay for a service, you will always be provided with any immediately necessary or urgent treatment, regardless of advance payment. The information you give on this form will be used to assist in identifying your chargeable status, and may be shared, including with NHS secondary care organisations (e.g. hospitals) and NHS Digital, for the purposes of validation, invoicing and cost recovery. You may be contacted on behalf of the NHS to confirm any details you have provided.
NON-UK EUROPEAN HEALTH INSURANCE CARD (EHIC), PROVISIONAL REPLACEMENT CERTIFICATE (PRC) DETAILS and S1 FORMS
We strongly recommend all patients stop smoking as it seriously damages your health.
If yes you will need to provide your repeat request slip or make an appointment to see a GP
Drinking within the lower risk guidelines
Men should not exceed 3-4 units per day on a regular basis
Women should not exceed 2-3 units per day on a regular basis
Drinking within the lower risk guidelines means that in most circumstances you have a low risk of causing yourself future harm
Access to GP Online Services
Patient online has been designed to support our patients by providing access to online services which include things like, booking and cancelling appointments, ordering your repeat prescription and viewing certain parts of your medical record. To gain access to your online account the section below must be completed. Our practice policy ensures that all applications for online registration will be reviewed and we aim to inform you within 2 weeks whether this has been approved
In the event of an approval of your online application, we hope that online services provided to you are beneficial. Some patients however (e.g. who suffer from a long term condition or require regular monitoring of their condition) may find that having access to more detailed information within their medical record is required. If you feel that this applies to you, please ask the receptionist for another registration form to request access to detailed coded information.
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.