Registration Form

New Patient Questionnaire

Any person living within the Practice area (see below) may apply to register with the Practice, providing they are UK residents or have the appropriate authority, visas or permits to be working or in full-time education here for 3 months or more. In the unlikely event that the Practice refuses to accept an individual as a patient, that person should try another Practice or contact Oxfordshire Primary Care Trust for help.

To register you will need to bring your NHS medical card in with you or if you do not have a medical card, evidence that you have the appropriate authority to be living here for 3 months or more, either working or in full-time education. We also ask everyone registering to bring some form of photographic ID e.g. passport or new style driving licence and evidence to confirm the address that they are living at. You will also need to complete the Registration form and a New Patient Health Questionnaire . It is our policy not to register patients without these. They can be downloaded as word files above or collected from reception.

If you want to see a doctor but do not fulfil the above requirements, please ask at reception for information on whether you can register as a temporary resident for free NHS treatment or as a private patient. Emergency treatment is available free of charge to everyone.

If you change address and/or your telephone contact numbers please let us know as soon as possible. This enables us to keep our records up to date and can save a lot of time should we need to contact you urgently.