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New Patient Registration

New patients, who reside within our catchment area, (please click here for map), will need to:

  • Complete a registration form together with the other documents in this pack or obtain a pack from reception.
  • Come into the surgery BRINGING ALL THE COMPLETED FORMS with you AND with personal photographic identification and proof of current address.
  • You will then be asked to arrange an appointment with our HCA. This initial appointment is very important (and is required as part of the registration process) since your medical records can take a while to be transferred from your last GP

Failure to complete the whole registration process can lead to your registration being cancelled.

All our patients are allocated a named GP and you will be informed of which doctor this is at your health check appointment. This doctor is responsible for the co-ordination of your care but you are of course able to see any GP in the practice.

NEW REGISTRATIONS TAKE PLACE EACH DAY FROM 11AM - 1PM AND THEN AGAIN AFTER 3PM.

ID can be as follows, please note you will need one item from each column:

A B
Passport Utility bill – dated within the last 6 months
Photographic Driving License Bank statement – dated within the last 6 months
Alternatively, if you do not have one of the above you can provide: Letter form benefits agency/benefit book/signing on card
UK birth certificate P45
National Insurance Card  
Marriage certificate  
Visa  

Registration Form Downloads

Adults Children
Registration Form.pdf Registration Form.pdf
Welcome letter - ADULT.pdf Welcome letter - CHILD.pdf
New Patient Questionnaire - ADULT.pdf New Patient Questionnaire CHILD .pdf
Ethnicity Form adult and child.pdf Ethnicity Form adult and child.pdf
Carers GP Registration Form adult and child.pdf Carers GP Registration Form adult and child.pdf
Data sharing options form - adult.pdf Data Sharing options form - child.pdf
Application form re online services Adult (16+).pdf Application form re online services Child (under 11).pdf
PATIENT ACCESS Patient information leaflet adult and child.pdf PATIENT ACCESS Patient information leaflet adult and child.pdf
Patient online access to detailed medical record Adult (16+).pdf  
Veteran's Registration Certificate (MOD) adult.pdf  

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Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home?
Gudge Heath Lane Surgery, 187 Gudge Heath Lane, Fareham, Hampshire, PO15 6QA
  • Telephone 01329 280887
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away! Need care but want to stay in your own home?
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