New Patient Registration – Adult

If you would like to register with the practice please use this form.

You will then need to visit the practice with two forms of ID: one for a proof of name and another for proof of residence.

To register a new patient you will need to live within our practice boundary.

Patient Questionnaire

Patient Questionnaire

Out of area registrations

If you live outside of the practice boundary area (please see our practice boundary) and you are applying to join the practice as it is in a more convenient location for you personally or you are re-joining the practice when you move home (to an area which is outside the practice boundary area) please consider the following:
1. If the doctors feel that it is not clinically appropriate or practical for you to be registered so far away from home they can refuse registration.
2. Because of the greater distance to your home, the surgery will not be responsible for providing you with a home visit when you are not well enough to attend the practice. You will be given information about what you should do in these circumstances, should the need arise.
3. If your circumstances change and it is no longer clinically appropriate or practical for you to be registered away from home then you may be asked to register with a practice closer to your home where care may be better provided at that time.

Please sign below to confirm that you have read and understood the above statement:

Patient Details