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New Patient Registration Form

Adult Registration Form
Child Registration Form

Countesthorpe Health Centre is currently able to take on new patients who live within the practice area – see area map.

If you wish to register you have 2 options:

  • Call in during surgery hours and pick up a form. You can either complete this at the time or take it away with you and drop it in later.

  • Print off a copy of the registration form for each adult or child (up to 16) in your family or household, complete them and bring them to the surgery with your ID.

If you would like online access so that you can view parts of your medical record, book appointments and order repeat medication online, please print and read the explanatory leaflet and then complete the additional Patient Online registration form.

You will need your NHS number and those of any family members wishing to register. If you do not have these written down, the easiest way to obtain your number is to telephone your previous GP practice.

If you need to see a doctor urgently before you have registered you can still make an appointment and then complete your registration when you come to the surgery.

New patient check

As a new patient to the practice we will invite you to make an appointment to see a Healthcare Assistant for a New Patient Check. This will allow us to gather information about your healthcare needs as soon as possible. It can take around six to eight weeks for your full medical records to be transferred from your previous practice. If you are on any repeat medication your details will be passed to our pharmacist, who will set up the medication so that in future you can order via our repeat prescription service. The pharmacist may contact you by telephone or invite you in for an appointment. If you have a prescription re-order form from your previous practice please bring this when you register.