If you are under 16, please refer to the child new patient registration page.
Please help us trace your previous medical records by providing the following information.
To complete this form you will need to upload 2 forms of identification, one of which must include a photograph. For example a picture of your photo driving licence and a recent utility bill.
The Electronic Prescription Service (EPS) sends electronic prescriptions from GP practices to pharmacies. Eventually EPS will remove the need for most paper prescriptions.
If you do NOT wish the NHS to share data from your health records for the purposes of research and planning, please opt out on the NHS website.
These are an electronic record of important patient information, created from GP medical records. They can be seen and used bu authorised staff only; in other areas of the health and care system involved in the patients care.
To Opt Out, visit www.digital.nhs.uk/scr
For more information on organ donation, please visit: www.organdonation.nhs.uk
If you would like to join the NHS Blood Donor Register as someone who may be contacted and would be prepared to donate blood, please visit their website on: www.blood.co.uk or call direct on 03001232323
Personal and medical information about patients registered at this practice are primarily kept electronically, although some is kept in paper form. Some information will be sent to hospital consultants and other health professionals to whom you are referred by your GP in order to provide continued healthcare and obtain treatment for you.
We sometimes use accredited suppliers for our communication with you, for example when we send recall letters for review clinics or medication reviews. All suppliers we use are checked carefully to ensure they comply with strict confidentiality protocols
To ensure the security of all patient information, all staff that has access to your records is covered by confidentiality clauses in their contracts and the Data Protection Act and the Freedom of Information Act. Our guiding principle is that we hold your records in strict confidence.
I certify that the information I have provided is correct and consent to my personal and medical information being used as stated above.