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Registration Forms

Whilst we are dealing with COVID-19 we are limiting the number of patients entering the surgery. If you wish to register with us please print out the registration forms (links below) and when completed post to us using Royal Mail or drop them into our letter box at the Wakefield Road entrance to the surgery.

We will contact you within three days of receiving your registration forms.

Form 1 - GMS1 Registration Form (For processing the application to register, the whole of the first page must be completed. This includes the applicant's signature section highlighted and starred in yellow. If you are not ordinarily a resident in the UK you will also need to complete the bottom half of the second page)

Form 2 - New Patient Questionnaire

Form 3 - SystmOne Shared Patient Record Consent

Form 4 - Care Home Next of Kin (PLEASE NOTE - this form is only required when registering patients at care homes)

The following documents are information for new patients registering with the practice, please click each link to download and read through carefully:

Welcome Letter

Enhanced Sharing Information

Summary Care Records

 

 

 

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