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New Patient Registration

RegistrationNew patients are requested to bring a form of ID and their NHS number; proof of address will be helpful.They will be booked with the Healthcare Assistant for a health check in order to be registered.

 

About Alexandra Surgery - Practice leaflet (UPDATED 02.10.2018):

Surgery leaflet - A5 booklet (two-sided) 2018-Oct

For booklet please print PDF version double-sided, flip page on short edge

Surgery leaflet - A5 booklet (two-sided) 2018-Oct

For booklet layout, please print Word version in landscape format, two page per sheet, double-sided, flip page on short edge

PRACTICE LEAFLET IN LARGE PRINT - PLEASE CLICK ON LINK BELOW:

Surgery leaflet - A4 large print 2018-Oct

Surgery leaflet - A4 large print 2018-Oct

New Patient Registration

Adults: Please fill in the GMS1 form and New Patient (Adult) Health Check form.
Child (age 5 or younger): Please fill in the GMS1 form and New Patient (Child) Health Check form.

GMS1 form:
You may download the current version of GMS1 form from the internet. (Try Google for GMS1).
Please ensure it is the latest version - otherwise the Department of Health will reject your registration.
You may also collect a printed copy from our reception.

New Patient (Adult) Health Check form:
New Patient (Adult) Registration and Health Check form (Word)

New Patient (Adult) Registration and Health Check form (pdf)

New Patient (Child age 5 or younger) Health Check form: 
http://www.alexandrasurgery.com/website/F85675/files/Child_Reg_Form1.doc
http://www.alexandrasurgery.com/website/F85675/files/Child_Reg_Form.pdf

 
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