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Online 'Pre-Registration' with the Practice

PreRegistrationIf you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us.

We will process your registration and this will be live with us within 2 working days.

When you visit the surgery for the first time you will be asked to complete and sign the form to confirm that the details are correct.

Pre-registration Form

Afterwards, you will also need to complete the Brook Square Surgery Registration form - this can be completed and brought into the surgery, or you can complete this when you first visit us.

Brook Square Surgery Registration form

 

Medical Questionnaire

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct. You will also need to provide your proof of identification.

When we receive your online registration forms the surgery will contact you to ask you to come in and sign your forms and provide ID, where possible.

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.


Alternatively you may print off a registration forms, fill it out and bring them into the Practice.

Printer friendly options:

pdfRegistration Form

Brook Square Surgery Registration form

 
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