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Wednesday 17th July 2019

The telephone lines will be closed today from 12.30 until 8.00am Thursday 18th July 2019

Click Opening Hours then the Closed tab to find out who to ring if you need medical assistance

Text message service

We have started to use text messages to contact you about making appointments, if you wish to "opt out" of this service, please let us know.

New website coming soon!

Patient Registration

We have a Practice boundary to offer patients in this area a full clinical service. If you are unsure whether your address falls within the practice boundary please contact the surgery for further advice.

If you live outside this area, we can offer a limited service to “Out of Area” patients. 

Not all patients will be suitable for “Out of Area” registration as services will be limited. If you are getting help with Social Services, Midwife, Health Visitor, District Nurse etc, it may not be appropriate for you to register here.

How to Register (please state if you are “Out of Area” because the forms are slightly different)

What you need to join the Practice:

1. Registration form (GMS1) *
2. New Patient Questionnaire *
3. Summary Care Record opt in/out form *
4. Proof of ID (originals please)

* Available from Reception

The Practice Boundary


Pre-Registration with the practice

If 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.

You must then bring your original photo ID documents to the practice as soon as possible, at this point you will also be asked to sign the patient registration form you emailed, to confirm that the details are correct.  

We do like to keep a photocopy of your ID, until your registration is accepted by NHS Warwickshire. In order for us to do this this we will ask you to sign a consent form. If your registration is then rejected for any reason, we can use this information to correction the reasons for the rejection (they are often spelling errors etc). As soon as your registration is accepted your copy of ID will be securely disposed off (shredded on site). If for any reason you do not want us to retain a copy of your ID and should your registration be declined we will need to contact you, to provide any further clarification/proof. The normal registration process is completed between 2-6 weeks. 

Pre-registration Form

When you visit the surgery for the first time you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. As the form is detailed you can fill this out in advance using the our online version, which you can send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Online medical questionnaire for new patients

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.

Registration Form

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