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Application for patients wishing to transfer GP within

Application for patients wishing to transfer GP within 2026

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The document is an application form for patients in Northern Ireland who wish to transfer their GP registration from Great Britain or another GP practice within Northern Ireland. It outlines the requirements for completing the form, necessary supporting documentation, and how personal information will be used in compliance with GDPR. The form must be signed by the applicant and includes sections for personal details, previous GP information, and a declaration of accuracy.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal details in Section 1. Fill in your title, surname, forename(s), date of birth, and gender. Ensure all information is accurate.
Provide your current address in Northern Ireland, including the postcode. If applicable, include any previous addresses in Great Britain or Northern Ireland.
In Section 1.11, specify the name and address of the GP practice you wish to register with in Northern Ireland.
Complete the declaration on page 3 by signing and dating it. If signing on behalf of someone else, indicate your relationship to the applicant.
Attach required documentation such as photographic ID and proof of address before submitting your application.

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