This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Pre-Registration with the practice register_now(This form can be completed and printed off but MUST be brought to the surgery with proof of ID and signature)

If you wish to complete a pre-registration form click on the link below to open the form. When you have completed all of the details, Print off this form and bring to the practice where we will be able to process, we will also ask you to complete some forms at the practice to update our details.

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. 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.

 


Patient Registration Questionnaire

BLIDWORTH_AND_RAVENSHEAD_SURGERY_Registration_Pack.docx

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website