Patient Registration

Patient registration forms are available here, which can be printed and completed, but patients must contact the

surgery as identity documents are needed

(please see below)

There are 2 different documents:

1.  HSR1 - patients previously registered outside Northern Ireland - HSCRI

2.  HS200 - patients previously registered within Northern Ireland - HS200

If you experience any difficulty in completing registration forms, please contact reception:

reception.Z00434@gp.hscni.net or 02890364048 or call into practice and staff will help

you to complete

Pre-registration

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

You will need to collect and complete the registration form and return to the surgery with a copy of photographic ID and proof of address i.e. utility bill

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.