Registration with the practice

PreRegistrationIf you wish to register click on the link below to open the form. When you have completed all of the details, mail your form to us via wolccg.primroselanesurgery@nhs.net

When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Registration Form

pdf Registration Form

When you register 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. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Medical Questionnaire For New Patients

New Patient Questionnaire


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

pdf Registration Form

 
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