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Patient Registration

We are able to treat patients who live within four miles south east and south west of the main surgery and three miles north.

To register with the Practice, come along to the surgery with your medical card and photographic idenitification.  We will photocopy your identification, ask you to fill in a short medical questionnaire about yourself and arrange a new patient appointment with one of our doctors. 

If you do not have a medical card you need to complete an application form, which is called an HS22X. This form is available in English and in a range of other languages. Please click on the respective links below to download the form in English and/or in translation. Once completed bring the form along to the Surgery with photographic identification and a work permit or visa which we will copy and return to you.  A new patient appointment will be arranged for you to attend one of our doctors.

UK
English


Click here for an application form for a medical card

portugal
Portuguese

poland
Polish

latvia
Latvian

czech_republic
Czech

lithuania
Lithuanian

russia
Russian

slovakia
Slovak

pakistan
Urdu

ireland
Irish

CliceƔil anseo i gcomhair foirme iarratais

india
Hindi

china
Chinese

bulgaria
Bulgarian

Click here for an application form for a medical card

romania
Romanian

Click here for an application form for a medical card

 

Content courtesy of the Central Services Agency, N.Ireland



 
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