Children’s New Patient Registration

To register with the practice:

Whilst we are waiting for your child’s full medical records from their previous doctor, it would help us if you could take the time to complete this questionnaire so that your child’s care is transferred as seamlessly as possible.

  • Please complete a separate form for each child/young person to be registered.
  • We automatically share the records of all children under the age of 18 with other health professionals, for more information visit our page that details our information sharing policy.


Please can the patient provide us with a copy of their current medication i.e. the white slip attached to the right hand side of their prescription. This slip is usually attached when medication has been collected from the Pharmacy. If there is no slip provided, please obtain a list of medications from your previous GP Surgery in writing on headed paper.

This can then be e-mailed directly to the Surgery at