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This is a long form, it may be useful to have to hand:

  • NHS Number (if you have one)
  • Address of your previous doctors surgery (if you have one)
  • Date you arrived in the UK (if you weren’t born in the UK)
  • Your EHIC Card or PRC (If you do not ordinarily live in the UK and have one of these)
  • Your Armed Forces personnel number and start date (If you served in the Armed Forces)
  • Scanned copies of a photo ID (eg Passport/Driving License) and proof of Address (eg utility bill dated in the  last 3 months) to email in

Before you register:

  • Check that you are within our Catchment Area.
  • If you are not in the catchment area, you can still apply to register, please read this information before applying as not all out of area applications are accepted. We do not provide home visits to patients outside of the area.
  • If you are registering a child, remember to bring in their red book on first presentation to the practice!
  • Please note: You can only be registered with one GP practice. If you register with us, you will be de-registered from your current GP practice.

Please allow 5 working days for your registration form to be processed. Please also bring Proof of Address with you when you first attend at the practice.

Registration Form

  • Start
  • Third Party Information
  • Health Information

About you

How do I find my NHS number?

  • It is written on your NHS medical card.
  • Your old GP practice will have this information and will usually be happy to provide it to you over the phone.
  • Your NHS number is written on most hospital letters and appointment slips.
  • If you have not previously registered with an NHS GP in the UK an NHS number will not be required for registration with the Practice.

Example NHS Number:

Your Current Address

Patient Declaration for all patients who are not ordinarily resident in the UK

Anybody in England can register with a GP practice and receive free medical care from that practice.

Some services, such as diagnostic tests of suspected infectious diseases and any treatment of those diseases are free of charge to all people, while some groups who are not ordinarily resident here are exempt from all treatment charges.

More information on ordinary residence, exemptions and paying for NHS services can be found in the Visitor and Migrant patient leaflet.

The information you give on this form will be used to assist in identifying your chargeable status, and may be shared, including with NHS secondary care organisations (e.g. hospitals) and NHS Digital, for the purposes of validation, invoicing and cost recovery. You may be contacted on behalf of the NHS to confirm any details you have provided.

Non-UK European Health Insurance Card (EHIC), Provisional Replacement Certificate (PRC) Details and S1 Forms

Complete this section if you live in another EEA country, or have moved to the UK to study or retire, or if you live in the UK but work in another EEA member state. Do not complete this section if you have an EHIC issued by the UK.

This code is on the card in the circle of stars

Please give your S1 form to the practice staff.

How will your EHIC/PRC/S1 data be used? By using your EHIC or PRC for NHS treatment costs your EHIC or PRC data and GP appointment data will be shared with NHS secondary care (hospitals) and NHS Digital solely for the purposes of cost recovery. Your clinical data will not be shared in the cost recovery process.

Your EHIC, PRC or S1 information will be shared with The Department for Work and Pensions for the purpose of recovering your NHS costs from your home country.

Your previous address

Your first UK Address where registered with a GP

If you are returning from the Armed Forces

Address before enlisting

Contact Details

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