This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.
 

New Patient Registration

registration1The Surgery 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 registration form and a health questionnaire which can be downloaded below also please download the sharing form and if required the summary care record opt out form.

Please bring them to the surgery. You should then allow a week for the registration to be completed

Please note if when we receive your application and we find that you are outside of our area we will inform you that we will be unable to accept your registration.

When you send in your forms please don't forget to enclose a copy of your last repeat prescription if you are currently taking repeat medication.


pdfRegistration Form  & Health Questionnaire Please download them along with Share Form - see below  

ENHANCED DATA SHARING AGREEMENT FORM - PLEASE FILL IN ONE THESE FORMS ALONG WITH YOUR REGISTRATION FORMS

When you register you are signed upto the Summary Care Record system. Which means if you go to A&E or other hospitals they can get very basic medical details about you such as allergies which will help them in any treatment. However if you do not wish to have a summary care record then please fill in the following form and bring it in with your application.

SCR OPT OUT FORM

WHEN ALL OF THE ABOVE THE FORMS HAVE BEEN COMPLETED PLEASE BRING THEM TO THE SURGERY OR POST TO THE SURGERY - BRANSTON SURGERY, STATION ROAD, BRANSTON, LN4 1LH - THANK YOU


PLEASE GO TO THE TABS ON THE RIGHT HAND SIDE OF THIS WEBSITE MARKED - ENHANCED DATA SHARING AND THE SUMMARY CARE RECORD - IF YOU DO WISH OR NOT TO SHARE YOUR INFORMATION HELD AT THE PRACTICE WITH OTHER NHS ORGANISATIONS. WHEN COMPLETED PLEASE POST THEM TO THE SURGERY AS THEY CANNOT BE SUBMITTED ON LINE - THANK YOU

 

 
Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website