Online 'Pre-Registration' With The Practice

PreRegistration*Please note we need the documents below to register you at the surgery.  If you are registering your child/children and are new to the Country please ensure you attach a copy of their immunisation history to your registration paperwork.  

If you wish to register click on the links below to open and print the forms. When you have completed all of the details either post them to us, put them through our letterbox at the front of the surgery or email them back to us at hiowicb-hsi.atherleyhousesurgery@nhs.net  .  Please attach photocopies of documents showing your current address, such as a utility bill and copy photographic ID such as passport, driving licence or visa.  Thank you.

*If you do not have access to a printer then please attend at the surgery during opening hours, press the buzzer and ask for registration forms.  Complete all documents and return to us.

1. Pre-Registration form

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. 

2. New Patient Health Questionnaire

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.

3. Data Sharing Opt out form

4.  Audit C alcohol form

Are you homeless?  You can still register at a GP practice if you do not have ID or proof of address.   Please discuss with the receptionist who can assist you with this.  

Please see links below for useful websites which may assist:

o Streetlink www.streetlink.org.uk   (or 0300 5000 914)

o The Pavement www.thepavement.org.uk  

o Homeless UK  www.homeless.org.uk 

 
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