Show Side Menu

Patient Registration

Download The new GMS1 form

Download New Patient Questionair

Anyone who wishes to register with the practice will be asked to complete the following  health questionnaires, either down load or call into surgery to collect the forms. Please note it is preferable if you need to see a GP to allow at least one week for your previous medical history to arrive in practice.

You will also be asked to bring in a combination of identification from the following list to support your application:-

Birth Certificate
Marriage Certificate
Medical Card
Driving License
Passport
Local Authority Rent Card
Utility Bill
Bank/Building society cards/statements
National Insurance Number
Payslip
Papers from home office
P45

Preference Of Practitioner

Whilst registered with us we encourage patients to see any of the doctors and clinical staff. However, you may express a preference for a particular doctor. Once a preference has been indicated we will endeavour to comply with the request. However, there may be times when this is not possible, for example, if the doctor is unavailable, or the services requested are not provided by your preferred doctor. Please note that should a patient wish to see their preferred doctor then it may result in a longer waiting time for their appointment.

Share

Your Neighbourhood Professionals Eaternal Health
© Neighbourhood Direct Ltd 2017
Derby Road, Ripley, Derbyshire, DE5 3HR
  • Telephone (01773) 303591
Practice Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals
Eaternal Health
Back to top