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Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to pre-register click on the link below to open the form. When you have completed all of the details, including your NHS number, which can be obtained from your previous practice, click on the "Send" button to mail your form to us. We then need you to come, in person,  to the Practice within 14 days to sign the form. 

Pre-registration Form

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out, print and bring with you when you visit the Practice or email to k83019.discharges@nhs.net

You will not normally be asked to show any proof of identification, however, should there be any difficulties or discrepancies in matching you with your existing medical records on the NHS data base we will contact you and you will be asked to clarify some information, or to present some identification documents in person.

New Patient Questionnaire

If you are registering a new baby, please complete and return the form below instead of the New Patient Questionnaire. You will still need to complete the Pre-registration form above and come in within 14 days to sign the form.

New Baby Questionnaire

Note that by sending the forms you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.


Alternatively you may print off the registration forms, fill them out and bring them to the practice.

01327842360

 
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