Use this service to register with the surgery.
Once you have filled in the form, you will receive an acknowledgement email and a further request for information. Please ensure you check your email account for updates including your junk or spam folder.
Please fill in the form as fully as possible. This helps us to provide you with the best service we can. Some of the sections may not be relevant to you, you can leave these blank.
If you are registering multiple family members, please fill in one online form per person with the contact details belonging to each individual separately.
If you are registering for a child, please ensure to also fill in the children’s registration section.
You can use this service if you:
- want to register at the surgery
- live within our catchment area
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
- your NHS number
- details of previous GP surgery
- basic health and medical information
You can also phone us on 0121 456 3322 for more guidance.