Child new patient registration

Use this service to register with the surgery as a child.

You can use this service if you:

• want to register at the surgery
• live within our catchment area
• are under 16 years old

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• your NHS number
• information about your health
• other personal details and demographics

Start now

You can also visit the surgery and pick up a registration pack in person.