New Patient QuestionnaireIf you wish to become a patient at the surgery you will be required to fill in some forms giving us information about yourself and your previous medical and family history. We also ask for two forms of identification. You will also be offered a new patient health check with the practice nurse.
You may request to be registered with a Doctor of your choice (see Practice Registration Form).
It may be necessary for the Surgery to occasionally "shut it's list" due to the practice population having reached it's limit. This will be reviewed on a monthly basis.
Please call the surgery on 023 80448558 to check whether we are accepting new patients or not.
Please complete bothe the following forms and return to the surgery with photo ID and Address ID.
New Patient Questionnaire
(We will occasionally make an exception and not have to view ID)