Under 13’s Registration Form

This registration form is for under 13’s only and is expected to be completed by their parent or guardian.

Please answer as much of the form as you can, many questions are compulsory.

Completed forms are taking longer to process than normal. Please expect up to a month before forms are processed and they become a registered patient. If relevant, please make sure you have enough medication from your previous practice to last you during this time.

Medical treatment is available from the date of registration (the date your questionnaire is processed by the administrative team). Please contact reception for further information. You will receive a confirmation text or email once your forms have been processed – we may also try to contact you to confirm some details.

You will need their NHS number to register – You can get this by contacting the current GP Surgery.


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