eConsult

Fill out a simple online form to get advice and treatment by the end of the next working day.

Register with us as a New Patient

If you live in our practice area and would like to register with us, please complete one of our registration forms that are available from our reception office. To ensure you are registered quickly and we are able to obtain your previous medical records without undue delay; do provide the information and support documentation required.

Practice Area

Our Practice is commissioned to provide Personal Medical Services (PMS) for our registered patients under contract to NHS SW London. We serve the geographical area of North Cheam extending to Lynwood Avenue, Worcester Park. Further details regarding the area are available from the Reception office.

Please be aware that you will be registering with the practice rather than an individual GP.

Acceptance on to the list is as at the discretion of the Doctor and we will ask you for proof of identity. (Please refer to our registration policy below and why we ask for this). Please note that your medical records may take several weeks to arrive at the Practice.

There are a number of reasons why you may not be able to register with your chosen GP, for example you may live too far away. If this is the case simply choose another GP in your local area.

We have the right to refuse to register patients if they have a violent flag against their record.

Pre-register online

Step 1: Complete online registration form

Our online registration form will collect your details, a brief outline of your medical history and record your preferences. This information may be added to your record and will allow us to begin to provide you with medical services.

Please complete one form for each family member.

Step 2: Upload scans of photo identity and proof of address

Please deliver to the practice copies of two forms of your identity.
One form of identity must contain a photo of yourself and the other must provide evidence of your current address. You may upload your forms online.

Download the Forms

If you would rather submit your application to register personally please download and complete the forms below

SCR patient consent preference form

Download a form to opt out of having a Summary Care Record (SCR) or opt out of additional information being included in the SCR.

Organ Donation

From 2020, adults in England will be considered potential donors unless they choose to opt out or are excluded. For more information please visit the Organ Donation NHS UK where you can also register your decision.