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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, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Pre-registration Form

Following completion of your registration form, we request that you come to the practice to sign & verify that the personal details are correct. This will then enable us to make an appointment for you for a New Patient Health Check, with one of our Practice Nurses/ HCA's

IT IS IMPERATIVE THAT EACH REGISTRATION FORM TO FULLY COMPLETED. IF NOT COMPLETE,  THIS MAY DELAY YOUR REGISTRATION AT THE PRACTICE

PLEASE NOTE - YOU REGISTRATION WONT BE  ACTIVATED UNTIL YOU HAVE VISITED THE SURGERY WITH PROOF OF YOUR ID -

1. photographic identification

2. proof of your address

Note that by sending the form 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 a registration form, fill it out and bring it in with you on your first visit to the practice.

pdfRegistration Form

 
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