New Patient Registration
If you have been asked by the practice to complete a new patient registration, please fill out this form. To register a new patient you will need to live within our practice boundary.
Please note that incomplete forms will be rejected.
Please also read the Prescription Request Process information page.
Once completed you will need to provide the documents below (these must be dated within the last 3 months). If you are unable to provide any of the necessary documentation please speak to reception about your registration.
- You need to provide your NHS number at the time of registration (you will be able to obtain this by asking your previous surgery or any hospital letters you may have will have your NHS number on)
- One form of photographic ID (e.g. passport, UK drivers licence, student card)
- One proof of address (e.g. gas, water, electricity, phone or council tax bill, bank statement, or a letter from your landlord or housing department to confirm your residency. This must be dated in the last 3 months)
Please note the Registration hours are Monday to Friday 14:00-18:00 at The Wallace Health Centre. If the required documents are not provided within 2 weeks from your initial online registration request please note your request will be cancelled.