New Patients

New Patient Registration

You can register by completing a Registration Form, a New Patient Registration Health Questionnaire and an Application for Online Access to Services, which can be obtained from the Practice or downloaded below.

Please bring the completed forms along to reception with two forms of suitable ID.

When you register, we will ask you to make an appointment for a new patient health check. This will make sure that our records are accurate and all routine checks to promote your health and wellbeing (such as blood pressure / smear tests / mammograms) are up-to-date.

Once you have been accepted as a patient, your medical records will be transferred to us and a new medical card will be sent to your home address. You do not need to inform your existing practice that you are moving, although it may be courteous to do so.


Practice Area

South Elmsall, North Elmsall, South Kirkby, Hooton Pagnell, Upton, Badsworth, Hemsworth, Brierley, Kinsley, Ackworth Moor Top, Thorpe Audlin, Kirk Smeaton and Little Smeaton.

Catchment Area Map 

Temporary Registration

If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient.

You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice.

To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.


Suitable ID

When registering, please remember to bring any two of the following with you:

  • Birth Certificate
  • Marriage Certificate
  • Medical Card
  • Driving Licence
  • Passport
  • Local Authority Rent Card
  • Paid Utility Bill
  • Bank / Building Society statment
  • NI number card
  • Payslip
  • Benefit Agency Letter
  • Papers from the Home Office
  • P45

Please note, the following documents are not accepted as proof of identity:

  • Library card
  • Video rental card
  • Health club / gym membership card
  • Private rent book

Non-English Speakers

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups. Open the leaflets in one of the following languages.

england EnglishUrdu Urdu
albania Albanianindia Hindi
egypt Arabiclithuania Lithuanian
bulgaria Bulgarianpoland Polish
china Chinese (Cantonese)portugal Portuguese
china Chinese (Mandarin)spain Spanish
russia RussianFrench French
Turkish TurkishPunjabi Punjabi
Gujerati GujeratiSomali Somali
Croatian CroatianBengali Bengali
Iran Farsi 

Out of Area Registration

New arrangements introduced from January 2015 give people greater choice when choosing a doctor. Patients can now ask to register with any GP practice, even if they live outside the Practice catchment area.

Patients receive the full range of services normally provided by the surgery, except, if they have an urgent care need at home, they may be asked to call NHS 111 who would arrange care with a local service.


Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them. You can download the guide below.



Please Complete the Form to Register

Register (GSM1)
Title:
Sex:
Address
Address
Postcode
City
Country

Please help us trace your previous medical records by providing the following information:

Your previous address in the UK
Your previous address in the UK
Postcode
City
Country
Address of previous doctor
Address of previous doctor
Postcode
City
Country

If you are from abroad:

Your first address where registered with a GP
Your first address where registered with a GP
Postcode
City
Country

If you are from the Armed Forces:

Address before enlisting
Address before enlisting
Postcode
City
Country

If registering a child under 5:

If you need your doctor to dispense medicines and appliances * :

* Not all doctors are authorised to dispense medicines.

NHS Organ Donor registration:

I would like to join the NHS Organ Donor Register as someone whose organs may be used for transplantation after my death.

Please tick as appropriate:
Or only my:

NHS Blood Donor registration

Emergency Contact

Address:
Address:
Postcode
City
Country