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.
- New Patient Health Check Form: PDF or Microsoft Word
- Ethnic Origin & Identity Form: PDF or Microsoft Word
- GMS1 Form: PDF – please complete this form by hand and return to us
- Patient Access Application Form: PDF or Microsoft Word. Please complete this form to finalise your registration for our on-line service for ordering repeat prescriptions, booking and cancelling appointments. For further details please read our Patient Access Leaflet.
- Summary Care Record: PDF or Microsoft Word and Summary Care Record Leaflet
Your Data Matters to the NHS – The NHS is committed to keeping patient information safe and always being clear about how it is used.
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 our practice.
You will also need to provide proof of identification and address when handing in your registration forms. You will need to 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).
You will be invited to attend for a new patient health check with the Practice Nurse or Healthcare Assistant. They will go through your medical history so that we are able to give you any treatment you require whilst we await your medical records.
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.