Online registration form

  • Patient's details

  • Date Format: DD slash MM slash YYYY
  • Please help us trace your previous medical records by providing the following information


  • If you are from abroad


  • Were you ever registered with an Armed Forces GP

  • Date Format: DD slash MM slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Footnote: These questions are optional and your answers will not affect your entitlement to register or receive services from the NHS but may improve access to some NHS priority and service charities services.
    *Not all doctors are authorised to dispense medicines
  • NHS Organ Donation

    You are a donor automatically unless you choose to opt out. If you do not wish to be an organ donor, please visit https://www.organdonation.nhs.uk or call 0300 123 23 23 to register your decision. Please tell your family about your organ donation decision.
  • NHS Blood Donor registration

    If you would like to join the NHS Blood Donor Register please go to the following website: https://www.blood.co.uk/