New Patient Registration

If you would like to register with the practice please use this form or select one of the forms below.

To register a new patient you will need to live within our practice boundary.

Please bring two forms of identification with you to the practice along with the below forms:

  • One photographic, ideally your passport or ID driving license
  • One recent proof of address e.g. utility bill dated within the last three months or letter from your employer confirming that you have taken up residence in the area for at least six months.

We offer a basic health check to all new patients within 6 months of registration to cover height, weight and blood pressure. Please ask for an appointment with the healthcare assistant.

Medical treatment is available from the date of registration. Please contact reception for further information.

Temporary Residents

You can register temporarily with a GP surgery while away from home for work, study or on holiday. You’ll remain registered with your permanent GP surgery.

Temporary registration is available for patients temporarily staying in the area (longer than 24 hours but less than 3 months)

New Patient Registration (St Luke's Surgery)

Patient's Details

Title *
Sex *
Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Ethnicity

Please specify the ethnic group you consider you belong to:
Do you require an interpreter?

Emergency Contact

Are they your next of kin?
Are they registered at the practice?

Allergies

Do you have any allergies?

Previous Details

Please include postcode.

If you are from abroad

Registering with the NHS for the first time in the UK
Please use this date format: DD/MM/YYYY.

If you are returning from abroad

Previously been registered with the NHS in the UK
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.

Carers

Do you have a carer?
Are you a carer for someone?
Do you give us permission to discuss your medical record with your carer?

Returning form the Armed Forces

Please bring your Medical form FP53 to release your medical records.