This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.
 

Noticeboard

FLU CLINICS 2018

Click Here for More Information About Flu

Wednesday 14th November 4 – 6 pm

Rainford Christmas Fayre 2018

Online 'Pre-Registration' With The Practice

THIS SERVICE IS NOT CURRENTLY AVAILABLE

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 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. Sending this pre-registration form through DOES NOT mean you are registered with the Practice, we will require more information from you before this can be done.  Please provide us with an e-mail address so that we can send you a new patient pack or call into the Surgery to collect one.

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

 
Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website