Gardner Street Surgery is no longer registering patients.  The practice may only accept an application for inclusion in its list of patients from a person who is an immediate family member of a registered patient, or new babies

Online 'Registration' With The Practice  CLOSED

Please complete BOTH Pre Registration form and Online Medical Questionnaire for New Patients.  Your Registration cannot be completed without BOTH forms - Thank You -

If you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Pre Registration Form, Please also complete Medical Questionnaire below as we cannot complete your Registration without this form

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Online Medical Questionnaire For New Patients

Note that by sending the form you will be transmitting information about your self 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.

Registration Form