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New Patient Registration

The doctors welcome new patients who live within our practice area.  As it often takes sometime for records to be forwarded from your former practice all newly registered patients will be asked to complete a health questionnaire and are offered a consultation with the doctor. 

Please contact reception for further information.

We cover all of Staines and Laleham plus postcode areas :

TW19 6, TW15 3, & TW15 2N - 2S.

If you wish to register with our practice we will need you to complete a registration form and medical questionaire.

These forms can be accessed from the links below but cannot be submitted via the Internet. If you do utilise one of these forms please print it off, complete and sign it then bring it in to our reception. Alternatively reception can provide this forms on request.

We also require photo id such as a passport or picture driving licence and also proof of current address (not more than 3 months old) e.g an up to date utilities bill or bank statement. Please note, we cannot accept a mobile phone bill.

pdf Registration GMS1 Form

pdfMedical Questionnaire Female

pdf Medical Questionnaire Male

pdf Medical Questionnaire Child 16 years and under

pdfSummary Care Record.pdf

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide below.

pdf A Patient Guide to GP Services

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