Complete the registration form below with the details of the child
Please select your sex as recorded at birth.
Please select the gender that you most identify with.
Do you need an interpreter?
Do you use any of the following?
Have you lived at your current home address for more than 3 years?
Next of Kin
Child Under 16 Registration
Protection Plan/Foster Care Information
Child's School Details
Please advise if the child has had any of the following immunisations (you can check your child's red book).
Age due: 8 weeks
Age due: 12 weeks
Age due: 16 weeks
Age due: 12 months
Age due: 3 years 4 months old or soon after
Our ethos is to keep people healthy through screening and immunisation programmes. We actively encourage your child to follow the routine immunisation schedule.
We would like to send you text messages to your registered mobile about your healthcare. This may include things like appointment reminders and test results. Is this OK?
Would you like us to send you appropriate emails from the surgery?
Summary Care Record
A summary care record (SCR) is an electronic summary of key health information. It will hold limited essential information derived initially from your GP record. This will include medication, adverse reactions and allergies. If you wish to know more information regarding the system and the benefits please ask reception. Alternatively, visit the website: www.nhscarerecords.nhs.uk
or call 0845 603 8510