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New Patient Registration

Registration is with the practice but to provide continuity of care you will have a named doctor who will be responsible for you and your family. We believe this provides sound holistic care that you would expect.

Registration documents are normally dealt with between 2.00 and 3.30pm to free our busy reception desk in the mornings.

Change of address and personal details should be notified to the practice in writing. Patients moving out of the practice area may be requested to register within their locality.

You can either complete the online registration form below, or click here to download the registration form.  If you download the form please return the completed form to the practice.

1Personal Details

2Next of Kin

Include First Name and Surname

3Religion

4Medical Details

5Height/Weight

Please estimate if unknown

6Diet

7Language Support

8Carers

Do you look after a sick, disabled, frail relative or friend without payment? Is there a child or young person in the family who helps to provide care or support to another family member? Approximately 10% of the current population are carers. In order to help us update our Carers Register please spend a few minutes of your time completing this information.

9Alcohol Consumption

10NHS Organ Donor Registration

For more information, please visit www.uktransplant.org.uk

11NHS Blood Donor Registration

12Ethnicity

13Other Details

14Your Information Summary Care Record

A summary care record (SCR) is an electronic summary of key health information. It will hold limited essential information derived initially from your GP record. This will include medication, adverse reactions and allergies. If you wish to know more information regarding the system and the benefits please ask reception. Alternatively, visit the website: www.nhscarerecords.nhs.uk or call 0845 603 8510

15Sharing with other services

We may need to share your medical information with other organisations involved in the delivery of your care e.g. Podiatry or District Nursing. We will not share identifiable information with anyone that isn’t involved in your care unless legally required to.

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

Your Neighbourhood Professionals. Just a Click Away!
© Neighbourhood Direct Ltd 2018
1 Uxendon Crescent, Wembley, Middlesex, HA9 9TW
  • Telephone 020 8904 3883
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Your Neighbourhood Professionals. Just a Click Away!
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