New Patient Registration

If you would like to register as a new patient please first check whether your live within the relevant catchment area. Then please visit the surgery to collect a registration pack which contains instructions and all the forms needed to register.

Or if you prefer, you can print out the Registration Form, New Patient Questionnaire and Your Data Sharing Preferences below.  Please hand in your completed forms to reception together with some form of photographic ID (eg driving licence or passport).  We are not able to register patients until we have received ALL completed forms.

To allow us to provide you with as much help as you might need, please avoid busy periods wherever possible when returning your paperwork.

When you register, if you are over 16, we as that you provide a urine sample which you will need to give us before 11:00.  

Registration form GMS1 (updated Oct 17)

New Patient Questionnaire (updated Feb 19)

Your Data Sharing Preferences

Alcohol Consumption Questionnaire

New Patient Questionnaire (under 16s)

Application forms for online services are available here

We aim to register new patients within 5 days of receipt of all completed paperwork.  If you think you will need to be seen before this, please speak to reception when you hand in your form.

Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide below.

A Patient Guide to GP Services

Nominating a friend or relative to have access to your medical information

You may wish to consider whether you would like to nominate a friend or relative to have access to your medical information.  This make particularly be beneficial for those patients who receive help from a carer or who find it difficult to manage their own affairs.  It means that your friend or relative can speak to the surgery on your behalf regarding your care.

If you would like to nominate someone to access your medical records, please print and complete this form and return it to the surgery once completed.  Forms are also available from reception.

Non-English Speakers

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.

Open the leaflets in one of the following languages

English	Urdu
Albanian	Hindi
Arabic	Lithuanian
Bulgarian	Polish
Chinese (Cantonese)	Portuguese
Chinese (Mandarin)	Spanish
Russian	French
Turkish	Punjabi
Gujerati	Somali
Croatian	Bengali
Farsi

Temporary Registration

If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice - you will need to register as a temporary patient.  You can be registered as a temporary patient for up to three months.

To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

Download the Temporary Resident Registration Form

You can register to have online access which will enable you to request repeat medication online, book routine GP appointments and message the surgery.  Please fill in the appropriate form below and drop it in to the surgery with some photo ID (passport or driving licence) to confirm your identity.  We can then issue you with login details.

Form for Adults (age 16 and over)

Form for Children aged 13-16

Form for Children under 13

Please contact the surgery if you have any queries - Patford House 01249 815407, Sutton Benger 01249 720244