Are you in our practice boundary? If you wish to register as a patient at the practice, please check your address via the postcode checker.
If you are in our practice boundary and wish to pre-register with the practice online, you need to fill out the form below and print it off so you can bring it in to the Surgery. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.
When you register you will be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. Please click the link below and print the form so that you can fill it out and sign it ready for when you visit the surgery for the first time.
Can you also please bring photo ID with you and proof of address in the form of a utility bill dated within the last 3 months as this is legally required by the surgery, unfortunately without both of these we will be unable to process you’re application.
If you wish to apply to be an out of area patient, please attend the Surgery reception with your I.D and proof of address dated within 3 months. Please be aware that there are different application forms for out of area patients which are kept at reception.
Out Of Area Patient Questionnaire
You have applied to join our list as an out-of-area patient. This means you will not be eligible for home visits from the surgery. It is also likely that you will no longer be eligible for other visiting services such as the district nurses, community midwives, community matron or other domiciliary services should they ever be required.
To register as an Out Of Area Patient you must fully understand the implications and if you have any concerns or doubts that this will be suitable for you, you should register at another practice close to your home address.
Before we can accept you as an out of area patient, we have a responsibility to you to ensure it is clinically safe and appropriate to do so. This means we have to be sure you are not likely to require a home visit or use of a domiciliary service in the near future. Therefore we require you to provide us with the following information: