Join The Practice

We welcome new patients who live within our practice area to register with us.

Anyone in England can register with a GP surgery. It's free to register. You do not need proof of address or immigration status, ID or an NHS number.

GP surgeries are usually the first contact if you have a health problem. They can treat many conditions and give health advice. They can also refer you to other NHS services. You do not need proof of ID to register with a GP, but it might help if you have one or more of the following:

Passport | Birth certificate | HC2 certificate | Rough sleepers' identity badge | Hostel or Accommodation registration | Mail forwarding letter

If you're homeless, you can give a temporary address, such as a friend's address, a day centre or the GP surgery address.

Please note: You will be asked to upload the ID proof in case you request online access to medical records.


To register online please ensure that you complete all fields on both the new patient registration form and the health questionnaire that follows once you click ‘submit’.

Please ensure to fill in your Previous address on GP so we are able to trace your medical records.

Registrations will be processed within 2-3 working days.

 

Patient's details
Day / Month / Year
If you know your NHS Number, please provide it
Please help us trace your previous medical records by providing the following information
If you are from abroad
DD/MM/YYYY
DD/MM/YYYY
Were you ever registered with an Armed Forces GP
DD/MM/YYYY
DD/MM/YYYY

Footnote: These questions are optional and your answers will not affect your entitlement to register or receive services from the NHS but may improve access to some NHS priority and service charities services

Health Check
Female Health
Exercise

During the last week, how many hours did you spend on each of the following activities?

Diet

How would you describe your diet?

Next of Kin
Carers
Ethnicity
Armed Forces
Accessibility
Smoking
Alcohol Audit C

Alcohol Reference Chart

One unit of alcohol is equal to one of the following:

Half pint of regular beer,

lager or cider,

Half a small glass of wine,

1 single measure of spirits,

1 small glass of cherry,

1 small measure of aperitifs.

Medical History
Medication Details

If you have medications please ensure you book a routine appointment so your repeat prescription(s) can be set up BEFORE they are due - there is a lead time to routine appointments being available.

Family History

Have your parents, brothers or sisters suffered from any of the following medical conditions? *

Additional Details
Vaccinations (Age 0-15)

Have you been immunised against the following

Vaccinations (Age 15+)

Have you been immunised against the following

Preferred Chemist

Please specify name and location of chemist, as from 17th June 2014 all prescriptions will be sent electronically to your nominated chemist.

For all patients who are not ordinarily resident in the UK

Anybody in England can register with a GP practice and receive free medical care from that practice.

However, if you are not ‘ordinarily resident’ in the UK you may have to pay for NHS treatment outside of the GP practice. Being ordinarily resident broadly means living lawfully in the UK on a properly settled basis for the time being. In most cases, nationals of countries outside the European Economic Area must also have the status of ‘indefinite leave to remain’ in the UK.

Some services, such as diagnostic tests of suspected infectious diseases and any treatment of those diseases are free of charge to all people, while some groups who are not ordinarily resident here are exempt from all treatment charges.

More information on ordinary residence, exemptions and paying for NHS services can be found in the Visitor and Migrant patient leaflet, available from your GP practice.

You may be asked to provide proof of entitlement in order to receive free NHS treatment outside of the GP pract

A parent/guardian should complete the form on behalf of a child under 16.

Non-UK European Health Insurance Card (EHIC), Provisional Replacement Certificate (PRC) Details And S1 Forms

How will your EHIC/PRC/S1 data be used? By using your EHIC or PRC for NHS treatment costs your EHIC or PRC data and GP appointment data will be shared with NHS secondary care (hospitals) and NHS Digital solely for the purposes of cost recovery. Your clinical data will not be shared in the cost recovery process.

Your EHIC, PRC or S1 information will be shared with The Department for Work and Pensions for the purpose of recovering your NHS costs from your home country.

Confirm
Online Access From 2019

NHS App

We are asking all new patients who register with us to download the NHS App to enable you to:

• Renew repeat prescriptions

• Book and manage appointments

• Securely access your medical records (For access to your medical records you must present your photo ID at the surgery)

• Check your symptoms, get instant advice, and more

Please note – The medical records will be from the date of registration

It will be your responsibility to keep your login details and password safe and secure. If you know or suspect that your record has been accessed by someone that you have not agreed should see it, then you should change your password immediately.

If you can’t do this for some reason, we recommend that you contact the practice so that they can remove online access until you are able to reset your password.

If you print out any information from your record, it is also your responsibility to keep this secure. If you are at all worried about keeping printed copies safe, we recommend that you do not make copies at all.

The information that you can see online may be misleading if you rely on it alone to complete insurance, employment or legal reports or forms.

Be careful that nobody can see your records on screen when you are using Patient Online and be especially careful if you use a public computer to shut down the browser and switch off the computer after you have finished.

There are a few things you need to think about before registering for online records. On very rare occasions:

Your GP may not think it in your best interest for you to look at your GP records online. If this happens, your GP will discuss their reasons with you. It is up to your GP to decide if you should be allowed access to your online records.

You may see your test results before your doctor has spoken to you about them. This may be when you cannot contact your surgery, or when your surgery is closed. This means you will need to wait until an appointment is available to talk to your doctor.

Information in your medical records might need correcting. If you find something you think is not correct, you should contact your surgery. The staff will be able to answer your questions and set things right when needed. Please bear in mind that you cannot change the record yourself.

There may be information in your medical records that you did not know was there or that you had forgotten about, such as an illness or an upsetting incident. If you see anything you did not know about that worries you, please speak to your surgery and they will discuss this with you.

If you see someone else’s information in your record, please log out immediately and let your surgery know as soon as possible.

If you have questions about any of the above points, please talk to your surgery and they will be able to advise you further

Proxy Access

What is a proxy? Proxy access allows parents, family members, carers, care home staff, to have access to their patients’ online services accounts, in order to book appointments, request repeat medication and where applicable, view their medical record.

Patient’s over 16 years of age are usually deemed competent to manage their own accounts. If you are over 16 and wish to allow a proxy to have access to their account then please supply their details. If no details are supplied then you will be given the on line access. When you, the patient, reaches 16, then your proxy’s access to your account will automatically be removed from the clinical system.

Patients below the age of 16 can have access to their own records but the practice needs to review this and this will need discussing with a GP following the patients registration.

Care Data and the NHS Digital

Confidential information from your medical records can be used by the NHS to improve the services offered so we can provide the best possible care for everyone.

This information, along with your postcode and NHS number but not your name, are sent to a secure system to be linked with other health information. This allows those planning NHS services or carrying out medical research to use information from different parts of the NHS in a way which does not identify you.

Opt out: Please find out more on NHS Digital Data Collection and the Opt-Out process on NHS Digital Website

https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/general-practice-data-for-planning-and-research/transparency-notice#opting-out-of-nhs-digital-collecting-your-data-type-1-opt-out-

Summary Care Record

Care professionals in England use an electronic record called the Summary Care Record (SCR). This can provide those involved in your care with faster secure access to key information from your GP record.

Core Information:

If you are/have been registered with a GP practice in England, you will already have an SCR unless you have previously chosen not to have one. It includes your name, address, date of birth and unique NHS Number which helps to identify you correctly. The core SCR holds information about, medicines you are taking, allergies you suffer from; any bad reactions to medicines.

Additional Information:

Your SCR can include more information such as significant medical history (past and present), information about management of long term conditions, immunisations and patient preferences such as end of life care information, particular care needs and communication preferences. You may have personal preferences, such as religious beliefs or legal decisions that you would like to be known and these can be held in your SCR.

Specific sensitive information related to fertility treatments, sexually transmitted infections, pregnancy terminations or gender reassignment will not be included, unless you specifically ask for any of these items to be included.

Essential details about your healthcare can be very difficult to remember, particularly when you are unwell. Having information in your SCR means that when you need healthcare, you will be helped to recall this vital information. There are already clear benefits for patient care from having medication, allergy and adverse reaction information available through SCR. If you choose to have this information in your SCR, this can further increase the quality of your care.

Additional information can also empower you if you need some help to communicate your complex care needs.

Only authorised care professional staff in England who are involved in your direct care can have access to your SCR. Your SCR will not be used for any other purposes. These staff will only see the information they need to do their job, and their details will be recorded every time they look at your record to ensure it is appropriate.

For more information on Summary Care Record, please use the following link:

https://digital.nhs.uk/services/summary-care-records-scr/summary-care-records-scr-information-for-patients#opting-out.

If you don’t select an option above, we will record this as Implied consent for Core Information , i.e. medications, allergies and adverse reactions to be held on your Summary Care Record.

Online Declaration

If you are happy with the information provided for online access to your medical records please tick the boxes below and sign and date your acceptance for online access.

Type your full name

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.