GP Surgery Registration Form
Let new patients register for a family doctor online with our customizable GP Surgery Registration Form template. This section includes an e-signature for registration along with an optional, separate signature for blood and organ donors.
If registering a child, please provide the parent or guardian's email address.
Being ordinarily resident means the patient is settled in the UK. If you are from outside the European Economic Area, you must also have the status of 'indefinite leave to remain'. We will contact you to discuss this in more detail.
Previous GP Details
The questions in this section are optional.