New Patient Registration

To register as an NHS patient at either Irchester Surgery or Summerlee Medical Centre you will need to complete a registration form. You can do this by attending the GP Surgery in person to collect these forms or you can complete both the Registration and Questionnaire document attached below.

Please fill out all forms and return them to the surgery at reception. When you return the forms you will need to bring proof of photographic ID (i.e. passport / driving licence) and proof of address.

You will then be asked by the reception staff to book an appointment for a New Patient Life Check with our Health Care Assistant or Practice Nurse.

All patient must fill out both the registration form and the questionnaire.

Registration Form

Registration Form (GSM1)

Registration Questionnaire

16 years and over - Registration Form ADULT (PDF, 303KB)

Registration Form CHILD (PDF, 291KB)

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