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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

Summary Care Record
When you register you will be given the option to "opt out" of the Summary Care Record. If you choose to opt out you will need to complete the form, either download the form below or from this link and bring it to the surgery with you.
 
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 and send to us, (please note this is a non-reply option). When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

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,  (please note this is a non-reply option).


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

Summary Care Record Opt Out Form:

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