Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to pre-register with our practice, click on the link below to open the form ('Registration Form' at the bottom of the page). When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct. The other following forms can be done at the Surgery.

PLEASE ENSURE THAT YOU COMPLETE 'Registration Form' AT THE BOTTOM OF THE PAGE. 

THERE ARE A TOTAL OF 3 FORMS TO BE COMPLETED TO FULLY REGISTER WITH OUR PRACTICE.

 WE CANNOT REGISTER YOU IF YOU DO NOT COMPLETE THE REGISTRATION FORM. ALL OTHER FORMS CAN BE COMPLETED AT THE SURGERY

Please also ensure that you include your NHS number.

We have Adult and Child registration forms which can be completed at the surgery.

1.PRE-REGISTRATION FORM

2.OPT OUT FORM (More information under 'Your Confidential Records')

THE PRE REGISTRATION FORM CAN BE EMAILED TO SOCCG.HILLLANESURGERY@NHS.NET

If you require the forms in a larger print then these can be found at the surgery.

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.


Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

pdfRegistration Form

 
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