IMPORTANT: FLU VACCINES FOR 50-65 YEAR OLDS (not otherwise eligible)

Appointments are now available for the 50-64 year old cohort to receive the Influenza vaccine. Please call the surgery 01462 624000 to book an appointment.

Online 'Pre-Registration' With The PracticePreRegistration

If you wish to register Online, there are 2 x separate forms that need completing via the below links.

1st Form:-   Pre-registration Form


2nd Form:-  Online Medical Questionnaire For New Patients


Please click on each link above separately and complete both the Form and Questionnaire in full. When you have completed all of the details on each form, click on the "Send" button to mail your form(s) to us.

Full completion of the questionnaire is essential because it can take a considerable time for us to receive your medical records.

Note that although this form states for ‘Adults’ please also use for children, completing details where applicable.


When you come to the surgery you will be asked to sign the forms to confirm that the details are correct.

Please be aware that by sending the forms you will be transmitting information about yourself across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.


Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

New Patient Registration & Questionnaire - Child 0-16 yrs

New Patient Registration & Questionnaire - Adult 16+ yrs

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website