If you are within our catchment area and wish to pre-register please click on the link below to open the registration form. When you have completed all of the details, click on the "Send" button to mail your form to us. You will need to go to the surgery to sign the form and to confirm that the details are correct, also taking in confirmation of your address. Please note that your registration will not be processed until you have visited the surgery to sign the forms and give address confirmation.
Visit the surgery to complete your registration process after 10.30am Monday to Friday.
Bringing all relevant ID with you.
Please ensure that both Application to register & new patient questionnaire forms are fully completed and that both are sent via the website to avoid holding up the registration process.
When you register you will also be asked to fill out a medical questionnaire regarding your health. 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.
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.
Please click on the links below for the appropriate form to complete. a new page will open with the form in Word Format please fill it in electronically then send the completed form via email to LEWCCG.G85005firstname.lastname@example.org. After which you must attend the surgery to sign the form and bring in the evidence needed.
Children from 8 weeks to 18 Years
Adult >18 Years Form