New Patient Registration

The doctors welcome new patients who live within our practice area.  

Registering is straightforward, most medical records are now held electronically, and are easily transferred from one GP to another. Paper records still take some time to be forwarded and so you will be asked to complete a health questionnaire and are offered a consultation with the health care assistant or doctor. 

Medical treatment is available from the date registration is completed at the Practice.  Please contact the Reception Team for further information.

If you would like to register with us, you can:

• complete our online pre-registration form - next page, and bring in the paper forms later.
• call into the surgery and we will give you the forms
• print off the attached form and bring it to the surgery

Brook Square Surgery Registration Form

**The only website this Privacy Notice applies to is the Surgery’s website.  If you use a link to any other website from the Surgery’s website then you will need to read their respective Privacy Notice.  We take no responsibility (legal or otherwise) for the content of other websites.**

Online 'Pre-Registration' with the Practice

If 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:

Registration Form

Brook Square Surgery Registration form

Non-English Speakers

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.

Open the leaflets in one of the following languages

English	Urdu
Albanian	Hindi
Arabic	Lithuanian
Bulgarian	Polish
Chinese (Cantonese)	Portuguese
Chinese (Mandarin)	Spanish
Russian	French
Turkish	Punjabi
Gujerati	Somali
Croatian	Bengali
Farsi

**The only website this Privacy Notice applies to is the Surgery’s website.  If you use a link to any other website from the Surgery’s website then you will need to read their respective Privacy Notice.  We take no responsibility (legal or otherwise) for the content of other websites.**

Temporary Registration

If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient.

You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice.

To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

Download the Temporary Resident Registration Form

Brook Square Surgery's catchment area is currently under review. If your postcode is not found in our catchment area please contact the Surgery on 01723 360098.

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