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If you have travelled from China or have been in contact with someone confirmed as having Coronavirus in the last two weeks, you may be at risk of Coronavirus. Please do NOT leave the house. Instead, ring 111 if:

  • You have been in China in the last 14 days and develop cough, fever or shortness of breath; or

  • You have been in Wuhan or Hubei Province in the last 14 days or have been in contact with someone confirmed as having Coronavirus, even if you feel well

Printable Forms

To save time, you may print off the Registration Form below, complete it and bring it with you to the practice to register, along with 2 forms of identification. Please do not sign the form until you bring it into the surgery with your identification.

When you register you will also be asked to fill out a medical questionnaire.  This is because it may take a considerable time for us to receive your medical records.  There is a version below which you can print out and complete then bring with you when you come for your new patient hPreRegistrationealth check.

Online medical questionnaire for new patients

Registration Form

Please note: you will need to produce 2 forms of identification before we can accept your registration.



Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website