


New Patient Registration
This form allows you to submit some basic health information and contact details to the practice as part of your registration process. Your answers will be added to your medical record. This may take 20-30 minutes.
OPTIONAL: You can enter your height, weight and blood pressure readings, and fill out a medication review (if relevant).
It will be helpful to know your CHI number
These are commonly found on NHS letters and prescriptions.
BLOOD PRESSURE (optional): If you regularly monitor your blood pressure, you can submit recent readings here. Ideally measure your blood pressure in the morning and in the evening, each time taking two readings while sat down, 1 minute apart. Continue measurements twice daily for at least 4 days and ideally for 7. If you want to submit your readings it works best to collect them all before completing this form.
SAFETY: Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.
If you are completing this review on your phone and would rather use a computer then please click/tap the 'Complete Later' button at the bottom of this screen to be emailed a link or type the link you received (please ensure you copy the entire link EXACTLY) into a normal browser window (eg Chrome or Microsoft Edge). Additionally, if you cannot complete the entire review in one sitting it is possible to return later to finish. Your answers are saved after each page. Simply click/tap the 'Complete Later' button.

If text is too small on your mobile/tablet, turn it sideways.
