Registration Forms can be printed below and completed but have to be brought into the Practice as photographic ID and proof of address is required as part of the registration process.

PreRegistrationWe do not accept on-line registrations at present.

Patient Registration Form - Please complete this form to request registration at                                         Meadowbridge Surgery along with either the HSCR1 or HS200                                         Form below.

Registration Form - HSCR1 - If your last GP was not within the UK.

Registration Form - HS200 - If your last GP was within the UK.

HSCR1 form HSCR1 forms - for any new patient coming from outside of the UK, South Ireland OR if they haven't been registered with a GP practice in over 1 year

HS200 form   for any new patient previously registered within the UK (Inc.  temporary patients)

Other documentation required when registering at the practice.

Temporary patients only need to bring their photographic ID
Permanent patients require photo ID, proof of address (eg a utility bill within the last 3 months)

GB Transfers proof of ID - UK & Irish Nationals born in UK:

Valid Passport or Vallid UK Driving Licence with photograph of applicant.

Or  UK Citizen Card  or Business Services Organisation (BSO) will verify this information and you may be asked to provide further information.

 GB Transfers proof of ID – EEA Citizens:

Valid Passport Or Birth Certificate, and where applicable , Marriage or Civil partnership with photographic identification.

Or Certificate of Naturalisation or proof of EEA status i.e. EEA National Identity Card.

 

GB Transfers proof of ID – Non-EEA Citizens:

Valid Visa/BRP issued by home office and Valid passport.

Proof of address of all categories above:

Current Driving licence(photo card and counterpart) showing your NI address.

Current home insurance policy valid for property of residence in NI.

Current NI rates bill valid for property of residence in NI.

Signed, current tenancy agreement (not hand written) or mortgage statement for your property of residence in NI.

Current bank statement for an active account which shows your NI address and activity in NI.

Recently paid utility bill(gas, electricity or telephone – not mobile phone)for your property of residence in NI.

Housing benefit award letter for your property of residence in NI.

A letter or document from Department for Communities confirming receipt of a state benefit showing your NI address.

A letter or document from Department for Communities confirming receipt of a social security benefit showing your NI address.

Letter from HMRC with you Unique Tax Reference/Self-Assessment Return showing NI address.

S1 Form (not issued in UK) or letter from DSP confirming receipt of State Pension (ROI only).

HMRC Tax Credit Award showing your NI address.

New Patient Questionnaire  Please print, complete and hand in at reception when registering with the Practice.

When you register at reception 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. You can also print, complete above and return to us at reception.


 
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