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Register

patient access

Register for online services:

If you have received a registration form for online services, please click on the following link and follow the step by step instructions https://patient.emisaccess.co.uk/register


Register as a patient at our practice:

We are currently accepting NHS patients.

If you live within our practice area you are welcome to register with us.

boundary area

In order to register you at the practice, we require you to complete the relevant registration form(s). These forms are available from reception and can be downloaded online (please see below).

Please return these forms to the surgery in person, along with two forms of ID (photo ID and Proof of Address). Two forms of ID are required for all patients over 16 wishing to register.

For children under the age of 16, please ensure you bring a copy of your Child’s Immunisation Record (known as the “RED BOOK”)

Please note: We may not be able to accept this registration form without it.

Acceptable forms of Photo ID:

  • Passport.
  • Driving Licence.

Acceptable forms of Proof of address (must be dated in the last 4 weeks)

  • Utility Bill.
  • Bank Statement.
  • Rent Agreement Letter.
  • Solicitors Letter.

Note: We may also accept medical cards as a form of ID.

Patients Under the age of 16:

Please print and complete the following (3) forms and return to reception along with a copy of your Child's immunisation record:

Patients Under 16 Registration Questionnaire

Community Health Services – Children’s Health Visiting and School Nursing Liaison

http://www.nhs.uk/servicedirectories/documents/gms1.pdf

Patients aged 16-74:

Please print and complete the following (2) forms and return to reception, along with two forms of ID (Photo ID and Proof of Address)

Patients aged 16-74 Registration Questionnaire

http://www.nhs.uk/servicedirectories/documents/gms1.pdf

Patients aged 75 and over:

We are now required to provide all of our newly registered patients aged 75 and over information on who their named GP. We there for ask that you collect a registration form from reception, which will provide you with this information.

Your Neighbourhood Professionals. Just a Click Away! Amar Alwitry Amphai Wilson Tracey Hoult Counselling Service
Pinfold Gate, Loughborough, LE11 1DQ
  • Telephone 01509 220 960 or 01509 274 033
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away! Amar Alwitry Amphai Wilson Tracey Hoult Counselling Service
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