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Routine - 01302 537611
Emergency - 01302 371399
Fax - 01302 371804
Email - email@example.com
Practice code - C86012
If yes, how many do you smoke per day?
If yes, how many units of alcohol do you drink per week?
Please attach a photo ID, such as a copy of your passport of driving licence.
What does a unit of alcohol look like?
Home Tel Number
Have you served in the armed forces as a regular, reservist or are you a dependant of someone who has?
For online registration, we need two items of proof of who you are (only if > 5 years of age)
Please attach proof of your address, such as a household utility bill.
Are you a carer?
Do you have a carer?
If you have a carer, please tell us their name and contact details below
Relationship to you
Current Health Challenges
Do you have and of the following conditions?
High Blood Sugars
COPD / Bronchiectasis
We are an Armed Forces Friendly Practice
Learn more about the NHS-Armed Forces Covenant and your rights here
How often do you take exercise?
What are the benefits of being active?
We define this as at least 30 minutes of activity that makes your heart beat faster and makes you sweaty.
Learn all about smoking and your body by clicking here
Most recent blood pressure
I give my permission for The Oakwood Surgery to contact me via email or telephone
I give consent for The Oakwood Surgery to send me text messages
I confirm that I am who I say I am and indemnify The Oakwood Surgery against any losses that might arise from my acting fraudulently.
Do you have any allergies?
If yes, please tell us what you are allergic to
To make it easier for us to provide you with continuity of care, you might want to upload a copy of your recent prescription from your previous GP practice.
To register as an NHS patient, we also need you to complete a GMS1 form. Feel free to print this out, scan it back on and sent it to us electronically.
Download the GMS 1 form here
To prove you are human, copy the word below
After clicking submit, you will be redirected to our new patient information page
We are thrilled that you want to register with us. To make it easier, we’ve created an online form so you can register with us from the comfort of your own home.
What you will need…