Stockwell Group Practice
Appointments Line 0207 2743223 or
General Enquiries Line 0207 2743225

New patient health questionnaire

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 form below. Once we have received both of the required forms, you will need to make an appointment with a nurse for a registration medical.

Please note that this form is only for the use of patients over the age of 16.

Step 1 of 5

  • Your Contact Details

  • DD slash MM slash YYYY
  • Information About You