Once you are registered … If there are any problems with your registration we will contact you to clarify any issues, but once your details have been entered into our computerised records you will be registered with ourselves. On-Line Services (available to patients 16 years and over) ... You will be able to register with our on-line service and access appointments, prescriptions and some sections of your own medical record via the internet. All of the details that you need for this are available at reception. New Patient Health-Check You will be eligible for a new patient health-check with a Health Care Assistant. Contact reception if … you should like to take this up. FOR OFFICE USE ONLY Signature of member of checking details PHOTO ID TYPE: ______________ Signature: _______________________ (over 18 only) Date: ___________________________ ADDRESS ID TYPE: _______________
Once you are registered … If there are any problems with your registration we will contact you to clarify any issues, but once your details have been entered into our computerised records you will be registered with ourselves. On-Line Services (available to patients 16 years and over) ... You will be able to register with our on-line service and access appointments, prescriptions and some sections of your own medical record via the internet. All of the details that you need for this are available at reception. New Patient Health-Check … You will be eligible for a new patient health-check with a Health Care Assistant. Contact reception if you should like to take this up. FOR OFFICE USE ONLY PHOTO ID TYPE: ______________ (over 18 only) ADDRESS ID TYPE: _______________ Signature of member of checking details Signature: _______________________ Date: ___________________________
Registration%20Form%20revised%20-%20November%202017.docx