We have an open list and welcome requests for registration from patients living in or moving to the practice area, which covers: Tarporley, Eaton, Utkinton, Little Budworth, Alpraham, Bunbury, Huxley, Tarvin, Kelsall, Ashton Hayes, Mouldsworth, Delamere and Oakmere.
To register please read and complete ALL the forms below (either PDF or Microsoft Word version), which are also available from reception.
- GMS1 Form: PDF – please complete this form by hand and return to us
- New Patient Health Check Form: PDF or Microsoft Word
- Ukrainian Rapid Health Risk Assessment: PDF or Microsoft Word – please complete this form if you are from Ukraine with as much information as you can. You do not need to complete the New Patient Health Check Form above but please complete the other forms in this list
- Ethnic Origin & Identity Form: PDF or Microsoft Word
- Summary Care Record: PDF or Microsoft Word and Summary Care Record Leaflet
Please complete all of the sections on the forms including your NHS number if known and details of your previous doctor. A registration form will need to be completed for each member of your family that wishes to register with the practice.
Your Data Matters to the NHS – The NHS is committed to keeping patient information safe and always being clear about how it is used.
You will need to provide proof of identification and address when handing in your registration forms. Please provide one of the following documents from each of the lists:
Proof of Identity:
Passport, driving licence, birth certificate, marriage certificate, medical card.
Proof of Address:
Utility bill, bank/building society statement, payslip (with address), external correspondence (solicitors/estate agent, showing name and address).
We are no longer able to register patients for the following:
- NHS Organ Donor Register. Please read the NHS Organ Donation Leaflet for further details.
- NHS Blood Donor Register.
All patients registered with this practice will have a named, accountable doctor who is responsible for coordinating your care. You can still talk to, or make appointments to see any of our doctors or nurses, not just your named GP.
There is also a very useful and comprehensive document “It’s your Practice” published by the RCGP for all patients.