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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 the completed form, WITH your NHS number if you have been registered with the NHS before. If you have not been registered with the NHS before, you will need to provide a copy of your photo ID and a copy of a letter/ utility bill dated in the last 4 weeks. This will need to be posted to the practice or put in the practice letter box outside the building. 

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 (PDF, 204KB)

Community Health Services – Children’s Health Visiting and School Nursing Liaison (PDF, 76KB)

Family doctor services registration form - GSM1 (External website)

Patients aged 16+:

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

Patients aged 16+ Registration Questionnaire

 

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Amar Alwitry