This form should be completed by all new patients.
You may print off a registration form, fill it out and bring it in with you on your first visit to the practice.
If you do not have a current medical card with your last GPs details you need to complete one of the following forms.
HS200 Last GP NI
If you have misplaced your valid NI Medical card or wishing to move GPs within Northern Ireland
HSCR1 This form should be completed by any new patient from outside Northern Ireland wishing to register at your practice to obtain free treatment.
- Persons who are registered with a GP Practice in England, Scotland or Wales and are moving to Northern Ireland to reside or to stay here as a visitor.
- Persons who have come to Northern Ireland from other EEA countries or overseas. This can be someone born here who moved away and has returned for a visit or to take up residence again, or someone who has never been in Northern Ireland before.
Online 'Pre-Registration' With The practice
If you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. Please call the surgery and make an appointment for a registration health assessment with a doctor. Tel 02890 610611 option 2. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.
When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.
Online Medical Questionnaire For New Patients
Note that by sending the form you will be transmitting information about yourself across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.