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How To Register as a New Patient

You can initiate registration as a new patient at Blackfield Health Centre or Waterside Health Centre by using the form below. Registration Forms will then be sent out to you in the post. Once completed, please return them, in person, to your chosen practice along with the relevant forms of ID.


We regret that we will not be able to proceed with your registration until your ID has been seen.

Please be aware that this form is being submitted via the World Wide Web and, although extremely unlikely, there is a possibility of it being intercepted. If you do not wish to submit the form below you can still request Registration Forms either by asking at Reception or by downloading a printable copy here:

Adult Registration Form - 16 and Over

Child Registration Form - Under 16

If this is your first registration with a GP in the UK, please fill out and submit the form below or collect a Registration Form from Reception. 

Once you have registered with the practice, you are entitled to make an appointment for a free NHS New Patient Health Check. This is your opportunity to attend a free well person screening clinic, which will record basic health information, discuss any concerns and review your current medications. It is also an opportunity to find out a little more about how the Practice operates and pick up you copy of the Practice Booklet

Please note, if you are already an existing patient you do not need to complete this form

Thank you for registering with us.

Patient 1

Patient 2

Patient 3

Patient 4

Patient 5


If you are not happy to check the buttons above please write down your details as requested above and return it to the surgery.

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