New patient Registration - Adult

Background Details
Contact Details
Next of Kin (can also be a friend)
Other Details
Previous GP Information
Communication Needs
Language
Carer Details
Medical History
Family History
Allergies
Current Medication
Your Lifestyle
Alcohol
Please answer the following questions.
Smoking
For further information, please see: www.nhs.uk/smokefree
Height & Weight
Women Only
Students Only

Students are at risk of certain infections including mumps, meningitis and sexually transmitted infections, as well as mental health issues including stress, anxiety and depression. Please see www.nhs.uk/Livewell/Studenthealth
Further Details
Electronic Prescribing
Patient Participation Group
We are committed to improving the services we provide. The Patient Participation Group is a mechanism for us to gain valuable feedback from our patients about their experiences, views and ideas for improving our services.
Blood and Organ Donation
Organ Donation
To register: Online: www.blood.co.uk/the-donation-process/recognising-donors Telephone: 0300 123 23 23 to speak to an advisor who will send out a donor card.
You do not need proof of ID to register with a GP, but it might help of you have one or more of the following:
1. Passport
2. HC2 certificate
3. Rough sleepers' identity badge
4. Hostel or accommodation registration or 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.
Sharing Your Health Record
Your Health Record
Your Summary Care Record (SCR)
Online Access To Your Health Record
Please read the "important information" regarding access to GP Online Services.
Consent
To view the privacy policy click here.