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.

New Patient Registration

The following areas are covered by this surgery:

Broad Street Green, Cock Clarks, Cold Norton, Goldhanger, Great Totham, Heybridge, Langford, Latchingdon, Little Totham, Maldon, Mundon, North Fambridge, Northey Island, Osea Island, Purleigh, Stow Maries, Tolleshunt Major, Ulting, Wickham Bishops, Woodham Mortimer and Woodham Walter. 

NHS_Hospital_formNew patients are required to complete a GMS1 registration form and a Health Questionnaire (see below) before being accepted at the surgery. Please bring the below forms along with you (Do not post/fax/email), two forms of proof of ID, at least one photographic ID, per person over 16 years of age are required.

New patients on medication need to make an appointment to see a doctor for a medication review on registering.

Please bring a urine specimen with you.

Patients who wish to transfer from another local practice must make an appointment with the senior partner for an interview before they can be accepted onto the list.

GMS1 registration form

 New patient registration questionnaire - Adult

New patient registration questionnaire - Under 16's

 

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