Registration Forms and Information

New Patient Registrations

If you are a DERBY UNIVERSITY STUDENT please access your registration forms via this link DERBY UNIVERSITY STUDENTS 

The practice has over 30,000 patients spread over 4 sites. The main site, which houses most of the management and administrative staff, is situated on Maine Drive, Chaddesden with branch surgeries at Derby Road, Borrowash, 380 Bishops Drive Oakwood and at Derby University. Our telephone and computer systems are linked, which enables us to answer your calls at any of our branch surgeries. All of our sites have a range of health professionals able to deal with your health needs and offer you the best possible level of healthcare.

The Doctors welcome new patients who live within our practice area. Click HERE to view our catchment area

If you live within our practice area and wish to register with us, please complete the online registration form below. Your registration will be sent direct to the practice and we will only contact you if your registration has been rejected.


It often takes some time for medical records to arrive from your previous surgery. Therefore, all new patients are required to complete a health questionnaire as part of the registration. Medical treatment will be available from the date the registration is accepted.

Patient Information

Practice Leaflet

How we use your information

Sharing you medical record leaflet

How do you communicate poster

Join our Patient Participation Group (PPG)

The Park Medical Practice welcome all patients to join our PPG but are particularly looking for representation from 20 to 35 year olds. If you are thinking of a career in health or social care, being part of a PPG would look great on your CV. Please read this Welcome Letter for more information and how to join.

Why has my registration been rejected?

There are a number of reasons why a registration may be rejected. The main reasons are:

  • You live outside of our practice area (please check the practice catchment area BEFORE registering.
  • We have previously enforced a removal of your registration due to our zero tolerance policy.
  • You are registering a child under 16 who does not have an adult living at the same address registered at our practice.
  • You have incorrectly completed the online form

Car Parking

All our branch sites offer parking but this can be limited. Car Parking at Chaddesden can be particularly difficult – Please ensure that you do not park to the right of the large tree, after the ‘Staff Parking sign’ at the back of the building, patients often get blocked in by staff members. When parking at the practice you do so at your own risk. The Practice can not accept any liability for any accidents, damage or loss incurred.

Will I be allocated a GP?

All patients are allocated a named GP. If you wish to know who your allocated named GP is we can give you this information when you next attend the surgery or by emailing us on:

[email protected]

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