New Patient Registration

If you live in the practice area (BT18, BT19, BT20) and would like to become a patient of the practice, you first need to complete two application forms.

The first is the practice "Registration Questionnaire" which you can download by clicking the link below.

Registration Questionnaire

The second form is a ‘HS200’ if you are coming from another surgery in the UK, or a ‘HSCR1’ if you have never had a UK Medical Card.

To download either of these forms, please click the links below.

Both forms need to be submitted with a copy of your photographic ID, and proof of your address.

These can be submitted by email to Reception.z00252@gp.hscni.net, or left into the surgery in person.  

 

 

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