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Pre-register as a New Patient

Please use the form below to pre-register with us as a new patient.

Completion of this form does not automatically register you or imply that you will be registered with our Practice; rather you are applying to register.


New Patient Registration – Scotland
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When you want to register with a new GP practice, you’ll need to complete these details to ensure that your new GP practice has all your medical history and your medical records.

If this is your first registration with a GP practice in the UK, medical records from outwith the United Kingdom won’t be traced.

You can only register with a GP practice if you’re staying in the area for more than 3 months. If you’re not, you may still be treated, but as a Temporary Resident.

Do not complete this form for Temporary Resident registration — please contact the practice directly for Temporary Registration.

If you will not be in the area for more than 3 months please contact the practice directly to register as a temporary resident.

Personal Details

Date of birth *
Have you ever registered with this practice before? *
Do you live more than 3 miles from the surgery?
Please include any flat, floor and block number or name in your address details.
Enter Email
Confirm Email
If you do not have a mobile number please enter 0 above and enter a contact number in the Home Phone Number box to ensure we can contact you if we have any questions regarding your registration.
May we contact you via text message and/or email regarding your appointments or care? *
From your current medical card.
From your current medical card.
From your birth certificate.
From your birth certificate.
From your birth certificate. (Scotland only)
From your birth certificate.
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