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New Patient Registration

register_nowTo register at the practice as a patient you must first complete a registration form and sign your signature at reception. You can print off a registration form below, along with a New Patient Questionnaire for your correct age group and take these into the practice. Each person over the age of 16 years old must bring in thier own registration form, signed by them and new patient questionnaire with two forms of identification, (preferably one photographic and one proof of address)

We only accept the following forms of identification:

  • Passport
  • Photocard
  • Driving License
  • Utility Bill with current address, ie telephone bill, gas or electric bill
  • Council Tax bill

PLEASE ENSURE YOU COMPLETE BOTH THESE FORMS FULLY, AS WE WILL NOT BE ABLE TO REGISTER YOU WITHOUT ALL THE CORRECT INFORMATION

You may print off our registration form and medical questionnaire, fill them out and bring them in with you on your first visit to the practice.

pdfRegistration Form

pdf Adult Health Questionnaire

pdf Childrens (Under 12) Health Questionnaire

Ethnicity

Ethnicity: This is your cultural background, please do not put your Nationality, i.e. your Place of birth.  You will notice on the Health Questionnaire that we ask for your Ethnicity, this is for the following reasons.

We are ask for your ethnicity because all ethnicities have tendencies towards certain illnesses and conditions - from CHD to diabetes, sickle cell anaemia, mental health disorders, cancer and more.

By recording ethnicity the NHS hopes to understand who is using our services, and if all people are getting the same benefits from NHS care - such as screening and health promotion, to help identify the needs of different ethnic communities and to ensurethat appropriate services are provide and to comply with the Race Relations (Amendment) Act 2000, which makes it compulsory to promote race equality in the NHS. The Act demands that people from different ethnic groups should enjoy equal access to health services.

 
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