Child Patient Registration

Everyone is welcome in general practice. You do not need to provide proof of ID, address, immigration status or an NHS number in order to receive care or see a GP.

To access our services, you will need to be registered as a patient with us. 

The registration process is quick and easy. Fill out the form and our admin team will process your registration.

If you are interested in registering, please check that you are within the catchment area of the practice.

Please check the catchment area before registering.

Emergency contact

  • Patient Details
  • Next of Kin
  • Additional info
  • Housing

Patient Details


Who has parental responsibility?

Mother's details

Father's details

Next of Kin's details

Additional info

If your child is under 1 years of age, were they premature?

Is your child home schooled?

Has your child ever been suspended or excluded from school

Has your child ever been subjected to a Child Protection Plan?

Has your child ever been a


What type of housing does your child live in?