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Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

When you register you will also be asked to fill out a medical questionnaire.  This is because it can take a considerable amount of time for us to receive your medical records.  There is an online version of this file too which you may fill out and send to us.  When you come to the surgery you will be asked to sign this form to confirm that the details are correct.  There is also an Alcohol Screening Questionnaire for those patient over 18 years of age.  This must be printed off and returned completed by post or attached to an email to  BASCCG.BlythGeneral@nhs.net 

Preregistration Form

Online Medical Questionnaire For New Patients

Alcohol Screening Questionnaire

Please also see the practice's statement on the Electronic Data Sharing Model. Electronic Data Sharing Model

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.


Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

pdfRegistration Form

 
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