Everyone is welcome in general practice. You do not need to provide proof of ID, or an NHS number in order to receive care or see a GP, however providing this information will enable us to process your application without delay.

To access our core services, you will need to be registered as a patient with us. Before you fill out a registration form, please ensure that you are within the catchment area of one of our practices. Please click the link to view catchment area of each practice. 

Lordswood | Selcroft | Quniton

Registration is quick and easy. Fill out the form below and our Admin team will process your registration.

New Patient Registration Form

Patient Details
If you are from abroad
As part of our digital communication, we may wish to contact you about your reviews, either by Mobile Messaging or E-Mails. Please be aware not to share these details, if you wish the messages to be confidential.
Additional Details about You
Next of Kin
Please tell us about your smoking habits (not needed for children)
Medical Details: In order to continue to receive your repeat medications you’ll need to bring in your re-order form from your previous GP.
Vaccinations: Please bring in the Red Book of the child to update their vaccination history. If in case you do not have the Red Book please bring in a copy of the vaccinations had from your previous GP.
Additional Details
Accessible Information Standard
We would like to get better at communicating with our patients. We want to make sure that you can read and understand the information we send you. If you find it hard to read our letters or if you need someone to support you at appointments, please let us know. We want to know if you need information in braille, large print or easy read. We want to know if you need an interpreter for your appointments.
Spoken language
Nominated Pharmacy

We have electronic prescribing functionality, this will allow us to send your prescription electronically to your preferred choice of pharmacy, and will also save you time in collecting your prescription from the surgery. Your Nominated pharmacy at Lordswood will be: Knights Pharmacy (next door to the surgery) Your Nominated pharmacy at Selcroft will be: Selcroft Pharmacy (next door to the surgery) Your Nominated pharmacy at Quinton Family will be: Rajja Pharmacy (5 Dwellings Lane)
To view our privacy policy, click here

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