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PreRegistration

Registration Forms

If you wish to complete your registration forms before attending the surgery, please click on the link below and print out the relevant forms.

When you bring in the completed forms to the surgery you should also bring proof of your address (e.g. a recent utility bill or bank statement) and if you were not born in the UK, your passport. We would also ask that you bring in a urine sample (specimen pots are available on request at reception) and if you are on any repeat medication please book an appointment to see a GP.

Adult Registration (16s & over)Child Registration

Registration Form - Adults (required)

pdf Registration Form - child
pdf  GMS1 Form (required)pdf GMS1 Form (required)

pdf Summary Care Record Opt Out Form (optional). Information about this form can be found here:

http://www.plasmeddygsurgery.com/info.aspx?p=5

Ethnicity Form (required)

 Alcohol Screening Form (required)
Online services Registration Form (required if wanting to use online services such as booking appointments, ordering medication)

Please try and avoid our busiest times when you bring in your registration forms so we can

devote time to you. Try and come in the afternoon and not on a Monday.

 
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