Registration Forms

To register with The Park Medical Practice, please print off and fully complete the registration forms (Parts 1 – 5) below and return to Reception with your 3 forms of original ID, see below for more details: 

Alternatively, you can ask for a New Patient Registration Pack from Reception

When you register you will be asked to complete a medical questionnaire. This is because it can take a considerable time for us to receive your medical records.

Please note: We will need 3 forms of identification from you (NOT PHOTOCOPIES)

One must have a photo of you, your name and date of birth (driving licence, passport).

One must be a type of utility bill (mobile phone, bank, council tax etc) showing your name, full current address and a date within 3 months of you registering with the Practice.


Adults

1. Registration GMS1 Form 

2. Adult Registration Front Sheet Forms of Identification Required

3. Adult Healthcare Questionnaire PMP.

4. Adult PMP Alcohol Questionnaire AUDIT-C

There is a new Central NHS Computer System called the Summary Care Record (SCR). The Summary Care Record is meant to help emergency doctors and nurses help you when you contact them when the surgery is closed. Initially, it will contain just your medications and allergies

5. Summary Care Record Optout Form.  Please visit the SCR website ‘Summary Care Record’, before opting out


 

Children: 0 – 15 years 

1. Registration GMS1 Form

2. Child Registration Front Sheet A Birth certificate is required for all children and NHS number, if registering a baby

3. Children Healthcare Questionnaire PMP

4. Summary Care Record Optout Form. Please visit the SCR website ‘Summary Care Record’, before opting out

5. Child PMP Alcohol Questionnaire AUDIT-C.(We advise that children over the age of 16 should complete a alcohol questionnaire.)


Patient Information

When the Practice is closed Leaflet


Important Patient Information

As part of the new 2015/16 General Medical Services contract, ALL patients, (including children), should be informed that they have been allocated a named GP and this GP will be responsible for your overall care at the practice.

So what does this mean for you?

All our patients are allocated a named doctor. This does not mean you can only see this GP, as a Park Medical Practice patient you are quite within your rights to book, in advance, with the doctor you choose to see or continue to see the GP who is available on the day. Therefore you should see no change in the day to day running of the practice or your care.

However, if you wish to know who your allocated named GP is, you will find it at the bottom of the tear off slip of your prescription or we can give you this information at your request when you next attend the surgery or by contacting us. If you would like your allocated named GP changing we will make reasonable efforts to accommodate your request.

Please remember this DOES NOT affect which doctor you usually see at the practice.