Medical new patient registration 2026

1. Click ‘Get Form’ to open the medical new patient registration form in the editor.
2. Begin by filling in your personal details, including your title, surname, forenames, middle name, date of birth, town and country of birth. If you have an NHS number, please include it as well.
3. Provide your contact information: home telephone number, mobile number, work number, email address, and occupation. Ensure that your address and postcode are accurately entered.
4. Indicate your ethnic origin by ticking the appropriate box. This section helps us understand our patient demographics better.
5. Complete the lifestyle information section by selecting your smoking status and providing details about alcohol consumption and physical activity levels.
6. List any current medications and known allergies. Answer questions regarding existing health conditions such as diabetes or asthma.
7. For females, provide additional information regarding reproductive health history as prompted in the form.
8. Fill out family history details to help us assess hereditary health risks.
9. Complete next of kin information and indicate if you have a carer or are a carer for someone else.
10. Finally, decide if you would like to register for online services and ensure to bring a urine sample to your registration appointment.

Start using our platform today to complete your medical new patient registration easily and for free!