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Patient Registration

Registering with us is easy. Your registration form can either be completed online or you can collect a 'new patients' form from reception. You will need to come to the surgery for a new patient's medical check and bring your medical card to the surgery to complete the registration.

If you are changing your address or contact details then let the reception know as soon as possible.

All you need to know about registering online with Welland Medical Practice

At Welland Medical Practice we have devised a simple guide for easy registration with us. Please find the headings into which you fit below and follow the instructions for (hopefully) stress-free registration.

REMEMBER: PLEASE DON'T WAIT UNTIL YOU GET ILL!

If you live within our practice area we are happy for you to register with us.

You do not have to go back to your existing GP surgery in order to register with us.

You can complete the paperwork online or print off a form and telephone the reception to book an appointment for a new patient check.

It is strongly recommended that you register with a GP in the town where you live, even if you already have a doctor somewhere else in the UK.

If you have never lived in the UK

You need to register with a Medical Centre in order to obtain a National Health Service (NHS) number. This allows you to:

  • Receive full NHS medical services whilst you are resident in the UK

  • NHS medical care is free and available throughout the UK to those who are resident in the UK for a period of six months or more.

For a brief guide to the NHS visit http://www.nhs.uk/NHSEngland/AboutNHSservices/Pages/NHSservices.aspx

Please check if you can register by looking at our practice area map below.

If you have lived in the UK and were registered with a doctor here once upon a time but now live abroad you should already hold a National Heath Service (NHS) number. You are strongly recommended to register with us to receive full NHS services.

Registering with Welland Medical Practice.

Step 1

Complete the form below. Please ensure that you fill in all the fields and provide the information that is required.  

Step 2 

You will receive confirmation of your application by e-mail and details of how to arrange a short appointment to come in to the medical centre to meet a nurse and sign your form. This appointment could be booked on line or over the telephone.

Step 3

Bring some documents with you to the new patient medical appointment. We would like 2 proofs of your address; one should ideally have a photograph of you on it. If you have recently arrived from overseas please bring your passport/visa alongside the 2 proofs of your address.

A nurse will give you a brief medical examination. This will include simple things such as measuring your blood pressure and weight.

Step 4

You have now successfully registered. Congratulations! Your medical card, which formally shows that you are entitled to receive NHS medical care, will be sent to your address. It may take some time (snail mail).

Please be patient. If you change your address please let the medical practice know A.S.A.P.

Step 5

Welland Medical Practice will write to your previous GP, if you have one, and the records will be sent through to us. This can take a few weeks before we have your complete medical records. In some cases we can ask for this process to be speeded up. Please let us know if we are likely to need your full records urgently.

 

PLEASE NOTE THAT ALL NEW PATIENT REGISTRATIONS WILL BE ALLOCATED AN ACCOUNTABLE GP

 

1Personal Details

please specify
If yes, please provide us with your email address below
If you know your NHS Number, please provide it
Please provide in the format dd/mm/yyyy

2Please help us trace your medical records

3If you are from abroad

4If you are returning from the Armed Forces

5If registering a Child under 5

6If you need your doctor to dispense medicines & appliances

Not all doctors are authorised to dispense medicines.

7NHS Organ Donation Registration

For more information, please ask at reception for an information leaflet, visit the website www.uktransplant.org.uk, or call 0300 123 23 23.

8NHS Blood Donor Registration

For more information, please ask for the leaflet on joining the NHS Blood Donor Register.

9Are you caring for someone or does someone care for you?

A carer is a person who is looking after or is responsible for the care of a relative, friend or neighbour who is mentally or physically disabled or whose health is impaired by old age.

Including postcode
Including postcode

10Do you/have you ever suffered with any of the following

11Female patients only

12Smoking status

We strongly advise all smokers to stop smoking. We offer a smoking cessation service at the practice, please enquire at reception for more information.

13Alcohol Users Audit Questionnaire

If your total score is 5 or more, please complete the further Alcohol Questionnaire below.

14Further Alcohol Questionnaire

15About You

in metres
in kg
in cm

16Family History

Do you have a father or brother who developed one of the following at age 55 or younger, or a mother or sister at age 65 or younger

17Allergies

18Current Medication

19Summary Care Record Opt-Out Form

Please only tick below if you do NOT want a Summary Care Record.

You do not have to have a Summary Care Record, although you are strongly recommended to consider this choice. If you are happy for a Summary Care Record to be set up for you then you need take no further action.

20 Confirm

Thank you for completing this questionnaire. We invite all new patients to make an appointment with the nurse /HCA for a new patient health check and a NHS Health Check if your aged 40 – 74.

If you would like to do this please ask at reception. We request that you bring a urine sample to

your first appointment.

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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