Register as a Patient

We accept patients who live in the area highlighted on the Practice Area Map.

If you would like to register as a patient, please:

  • Print out the form here and bring to reception with two forms of identification - one picture form (eg passport, driving licence) and one form for proof of address (eg utility bill dated in the last three months).
  • Please complete the details on the Practice Registration Form, including organ donation details if appropriate.
  • If you do not wish to have a Summary Care Record, please fill out an opt-out form and return to the surgery.  For more information on the NHS Summary Care Records, please click here.

Completing the registration form will allow us to provide a service tailored to your medical requirements while we wait for full medical records to be sent to us from your former GP.

All information provided by you on the registration form is only used by the clinical staff at the practice and is confidential.

Contact Us

2A Hanley Avenue

0115 922 4960

CQC Registration Number