New Patient Registration

If you would like to register with the practice please use this form.

To register a new patient you will need to live within our practice boundary.

Please also view the following documents:

If you would like to have access to online services (Patient Access) please complete our Patient EMIS Access (online) Application Form

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 list 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.

New Patient Registration - Sunny Meed

New Patient Registration - Sunny Meed

Title: *

We will send appointment reminders etc. to this number unless requested not to do so.
Do you need an interpreter? *
Are you happy for us to contact you via email? *
Are you happy for us to contact you via text? *
Are you happy for us to leave messages on your answer phone? *
Have you ever served in the armed forces or as a reservist? *
Ethnicity:

Next of Kin

Are they registered with this practice?
Can we discuss your record with, and give results to them?
Is this person your emergency contact?

Please help us trace your previous medical records by providing the following information

If you are from abroad

Were you ever registered with an Armed Forces GP

Please indicate if you have served in the UK Armed Forces and/or been registered with a Ministry of Defence GP in the UK or overseas:

Medical Information

Are you registered disabled? *
Do you have any other mental health issues? *
Please indicate if you have ever suffered from the following conditions:
Are you receiving or have you received any treatment or therapy? *

Lifestyle

Do you smoke? *
Would you like advice on giving up smoking?

For help and advice please visit www.nhs.uk/smokefree or call 0300 123 1044.

What is your diet?

Alcohol Intake

How often do you have a drink that contains alcohol?
How many standard alcoholic drinks do you have on a typical day when you are drinking?
How often do you have 6 of more standard drinks on one occasion?

Carers

A carer is anyone who cares, unpaid, for a friend or family member who due to illness, disability, a mental health problem or an addiction cannot cope without their support.
Are you a carer?
Do you have a carer?

Join Our Email Group

Help us to improve our services by joining our virtual patient participation group.

GDPR

We will not share your contact details with any third party unless for safeguarding reasons (Please refer to our website to find out how your information, including contact details is used/shared)

Electronic Prescription Service

The Electronic Prescription Service (EPS) is an NHS service and enables prescriptions to be sent directly to a chemist of your choice (nominated pharmacy).

If you are unsure of what this means to you please ask at reception for a leaflet on EPS.

This chemist can be changed by you at any time by letting the surgery know.

Emis Access

If you would like online access to:

  • View your medical record
  • Order repeat prescriptions
  • View test results
  • Book appointments

please read the practice guidance for EMIS access.

NHS Organ Donor registration

For more information on organ donation please visit: www.organdonation.nhs.uk

Summary Care Records

This practice has joined the national Summary Care Record programme which enables each patient to have a summary of their key medical information held securely on the NHS central database, known as the NHS Spine. This summary record could be used in an emergency if you needed treatment when access to the medical record held by your GP was not available; for example if you call the doctor out of hours. You will always be asked to give permission for this record to be viewed and you have the right to decline.

Please indicate below whether you would like to have you own Summary Care record by indicating you decision below. A full explanation of each choice follows.

A Summary Care record will be created for you from your details held on our GP clinical system and will contain:

  •  Any record we have of your current repeat medication, any acute medication (one-offs e.g. antibiotics) and any recently discontinued medication
  • Any record we have of adverse reaction to medication
  • Any record we have of your allergies

A Summary Care record will be created for you containing the details itemised above in 1 a, b & c PLUS important additional information you and your GP agree would be useful. (e.g Diagnoses – Asthma, Diabetes etc; Implants – Pacemaker, End of life care etc) Please discuss this with your GP at your next visit.

A note will be made in your records that you do not wish to have a Summary Care record. Please note that if you attend A&E or if you need emergency treatment when the GP Practice is closed the clinicians treating you may not have access to key information to help them give you the most appropriate treatment.