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Patient Registration

New Patient Registration outside NI - Update June 2017

patient registraitonNew patients will need to bring along their medical card, or complete a registration application if unable to source medical card

Pre-registration

PLEASE DO NOT PRE_REGISTER UNTIL YOU HAVE SPOKEN TO SOMEONE AT THE PRACTICE AND CONFIRMED THAT YOU ARE ELIGIBLE

If 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

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. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

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 on your first visit to the practice.

Registration Form (Northern Ireland)

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