Langham Place Surgery welcomes new patients who reside permanently within the practice area boundaries - please check our Practice Area information sheet to confirm our practice area.
For each applicant applying to register you will need to provide the following:
You will also need to complete the following forms:
For your convenience these forms can be printed by clicking on the appropriate icon or you can pick up a registration pack from reception.
You will need to bring all your documents and completed forms to reception for checking.
If you are on any repeat medication the receptionist will arrange a new patient health check appointment.
|1. Home Address -||Where you are living now|
|2. Previous Doctor -||The last doctor you were registered with|
|3. Previous Address -||Where you lived when you were registered with your previous doctor|
4. If you have only just arrived in the UK and have never been registered with a GP please give the date you arrived.
5. Please do not forget to enter your Date of Birth and to sign the form.
An area drawn roughly in line with a 2 mile radius of the surgery but based on major roads. This is described as follows: