If you are from abroad
Registering with the NHS for the first time in the UK
If you are returning from abroad
Previously been registered with the NHS in the UK
If you need your doctor to dispense medicines and appliances
Only complete the below if you have ticked 'I am not ordinarily a resident in the UK'.
Anybody in England can register with a GP practice and receive free medical care from that practice.
However, if you are not ‘ordinarily resident’ in the UK you may have to pay for NHS treatment outside of the GP practice. Being ordinarily resident broadly means living lawfully in the UK on a properly settled basis for the time being. In most cases, nationals of countries outside the European Economic Area must also have the status of ‘indefinite leave to remain’ in the UK.
Some services, such as diagnostic tests of suspected infectious diseases and any treatment of those diseases are free of charge to all people, while some groups who are not ordinarily resident here are exempt from all treatment charges.
More information on ordinary residence, exemptions and paying for NHS services can be found in the Visitor and Migrant patient leaflet, available from your GP practice. Alternatively for more information go to www.nhs.uk/visitingengland.
You may be asked to provide proof of entitlement in order to receive free NHS treatment outside of the GP practice, otherwise you may be charged for your treatment. Even if you have to pay for a service, you will always be provided with any immediately necessary or urgent treatment, regardless of advance payment.
The information you give on this form will be used to assist in identifying your chargeable status, and may be shared, including with NHS secondary care organisations (e.g. hospitals) and NHS Digital, for the purposes of validation, invoicing and cost recovery. You may be contacted on behalf of the NHS to confirm any details you have provided.
I declare that the information I give on this form is correct and complete. I understand that if it is not correct, appropriate action may be taken against me.
A parent/guardian should complete the form on behalf of a child under 16.
European Economic Area (EEA) Country
For a list of EEA countries visit: www.gov.uk/eu-eea
Do you have an S1 Form?
Emergency Contact / Next of Kin
Please ask the receptionist to show you how to use our blood pressure monitor.
If you are taking regular medication, please provide the surgery with your repeat medication request slip (from your previous surgery) so that the doctors may assess your condition(s) and prescribe for you.
Please note we are unable to prescribe any repeat medication until you have seen a doctor at the surgery.
Visual impairment, hearing difficulty, learning disability
Patient Participation Group
What is a Patient Participation Group (PPG)?
A group of registered patients and practice staff who meet frequently to discuss and make decisions
about the practice and how it is able to service the community with improved healthcare services
The Department of Health require us to record the ethnicity and language of every patient registered
with the practice. This information will be used to help plean and deliver services appropriate to
different communities. The categories below have been used accross government since 2001 are
taken from the Department of Health's website.
Registering For Online Services
Information for New Patients about Your Summary Care Record