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. You will also be asked for photo identification or two forms of written identification to confirm your address.

As some addresses fall within both the Stratton and Holsworthy catchment areas please specify which surgery you would like to be registered at within one of the information fields. 

Please note - until we have seen your ID and the form has been signed you will not be registered onto our system.

Pre-registration Form

When you register you will also be asked to fill out a medical questionnaire. This is an important part of the registration process. We need it 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. When you come to the surgery you will be asked to sign this form to confirm that the details are correct. Please ensure you specify where you would like your medication to be sent to when you fill out the questionnaire. You may need to use a blank field allocated to something else to do this.

Online medical questionnaire for new patients

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.


Alternatively you may print off a registration form, fill it out and bring it in with you when you visit to the practice.

Please note - until we have seen your ID and the form has been signed you will not be registered onto our system.

Registration Form

 
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