New Patient Registration With The Practice
Please Telephone 029 2048 9292, or visit reception at either site for details.
REGISTER (Please coplete both forms to register)
1. TO COMPLETE REGISTRATION PLEASE DOWNLOAD AND PRINT OFF THE FORMS WHICH MUST BE SIGNED AND BROUGHT WITH YOU TO THE SURGERY. WE ARE UNABLE TO ACCEPT REGISTRATION UNTIL WE RECEIVE THE SIGNED FORMS. WE WILL ALSO NEED TO SEE ORGINAL EVIDENCE OF IDENTITY TO VALIDATE IDENTITY AS DESCRIBED ABOVE.
Please note that only the Medical Questionnaire can be completed/submitted online. The Registration Form must be printed off, completed, signed and handed in to the surgery together with the appropriate forms of ID.
Online Medical Questionnaire For New Patients
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.
Please print off a registration form, fill it out and bring it in with you on your first visit to the practice. Alternatively you may request a form when you attend the surgery.
New Patient Registration Form
Important Information - Patient Declaration Form (must be completed)