If you are within our catchment area and wish to pre-register please click on the link below to open the registration form and one of the forms at the bottom of this page. When you have completed all of the details on registration form 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 completed both of the relevant forms.
Please click on the links (2, 3, or 4) above for the appropriate second 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.firstname.lastname@example.org. Along with the evidence needed as detailed on the form.
Please ensure that the registration form & 1 of the following forms are fully completed and that both are sent.
2. Adult Registration
3. Child aged 8wks to 18 years
4. New Born
These registration form is sent via the website & the 1 of the other 3 forms is sent to our generic email address as above to avoid holding up the registration process.
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.