To register as a new patient online please complete the form below making sure you FULLY COMPLETE both the NHS Family Doctor Services Registration Form and the New Patient Questionnaire that follows it. If you do not complete both of these forms fully we will be unable to register you with the practice. You must provide the surgery with two forms of I.D at your first visit.
It is very important that all new patients wanting to register with the practice book an appointment for a health screening examination with our healthcare assistant. This normally takes a maximum of 20 minutes. Patients are registered with the practice and with a GP for administrative purposes only.
Named accountable GP
NHS regulations state that all patients are to have a named GP responsible for their care.
All our patients, including children have been allocated a named, accountable GP.
There is no requirement to write to any patients regarding their named GP. Practices are required to inform patients of their named GP at the next appropriate interaction.
You may request a specific named GP (requests will be considered) and can contact the practice to find out who your named allocated GP is.
What does 'accountable' mean?
The contract requires the named accountable GP to take responsibility for the co-ordination of all appropriate services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgement of the named accountable GP).
You do not have to see your named GP and can request to see any available GP the same as you can at present.
Please help us trace your previous medical records by providing the following information
If you are from abroad
Were you ever registered with an Armed Forces GP
Footnote: These questions are optional and your answers will not affect your entitlement to register or
receive services from the NHS but may improve access to some NHS priority and service charities services
If you need your doctor to dispense medicines and appliances
Not all doctors are authorised to dispense medicines
NHS Organ Donation registration
Please tell your family you want to be an organ donor.
If you do not want to be an organ donor, please visit 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 blood.co.uk or call 0300 123 23 23.
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.
A parent/guardian should complete the form on behalf of a child under 16.
Non-Uk European Health Insurance Card (EHIC), Provisional Replacement Certificate (PRC) Details And S1 Forms
Complete this section if you live in another EEA country, or have moved to the UK to study or retire,
or if you live in the UK but work in another EEA member state. Do not complete this section if you have
an EHIC issued by the UK.
How will your EHIC/PRC/S1 data be used? By using your EHIC or PRC for NHS treatment costs your EHIC or PRC data and GP
appointment data will be shared with NHS secondary care (hospitals) and NHS Digital solely for the purposes of cost
recovery. Your clinical data will not be shared in the cost recovery process.
Your EHIC, PRC or S1 information will be shared with The Department for Work and Pensions for the purpose of
recovering your NHS costs from your home country.
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 known only to the GP practice and is
accessed over a secure connection by nominated Practice staff. Our practice has 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.