New Patient Registration
We are currently accepting new patients who live within our practice area (See Practice Boundary ).
Please contact reception for further information or if unsure about anything.
To ensure we can complete your registration when you come to the Practice, YOU MUST COMPLETE ALL of the forms below and come into the surgery to provide the CORRECT PROOF of Identification (we will not accept Faxed or photo copied documents)
GMS1 Form (Adobe Acrobat Reader required, Click here to download)
Leaving Messages (you can not sign a consent for any other patient aged 16 or over)
Health Visitor Team
Registration of Non UK Residents Form
New Baby Registration (only if applicable)
Due to new recommendations from NHS Counter Fraud Service we now ask patients to provide proof of identification:
You will need to bring along two documents:
One needs to be a Birth Certificate/Marriage Certificate/Medical Card/Driving Licence (photographic)/Passport.
The other can be Local Authority Rent Card/Paid Utility Bill/Bank/Building Society statements/Payslip/Letter from Benefits Agency/Benefit book/Signing on card/Papers from the Home Office/P45 or any other acceptable identification.
Please do not send this information by post as we cannot be responsible for any loss of documents etc.
If you move out of our area, or wish to change doctors for any reason, your medical card explains how to do this.
Change of Address
Remember to keep us informed if you move house or change your name, including family members registered at the practice. This will ensure that your records are always up to date and confirm that you are still living in our practice area. A contact number is also useful.
Please complete the Change of Address Form (please bring proof of residence to the practice when submitting the form i.e. utility bill showing your name)
Church Street Medical Centre
We want to get better at communicating with our patients. We want to make sure you can read and understand the information we send you. If you find it hard to read our letters or if you need someone to support you at appointments, please let us know.
We want to know if you need information in braille, large print or easy read.
We want to know if you need a British Sign Language interpreter or advocate.
We want to know if we can support you to lipread or use a hearing aid or communication tool.
Please tell the receptionist when you arrive for your next appointment, or call us on 01773 7120 65 between 08:00 and 18:00.