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New Patient Registration

Any person resident within the practice boundary may apply to become a patient of the practice. Applications are made by presenting your medical card and new address or by completing an application form (available from reception or you can download them below) and producing appropriate proof of residence and identification.

Prospective patients will also be asked to complete a health summary, which will be used by the doctors until the notes arrive.

Registration Forms

Adult Registration Form

Child Registration Form

New Born Child Registration Form

Application for online services

Consent to proxy access online services

Permission for the surgery to share health information with family

 DSAR Application form for access to health records and other personal data

PLEASE NOTE YOU WILL ALSO COMPLETE A PURPLE FORM WHEN YOU BRING THESE REGISTRATION PAPERS INTO THE SURGERY

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The Foot Lady, East Grinstead Alex Jones Funeral Directors Ltd