Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Pre-registration Form

When your initial form is complete we will also contact you to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. 

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.

Please ensure you have completed the Pre-registration form for new patients. We will be unable to complete the registration without this being fully completed. 

Once the form is checked we will contact you via telephone, please allow upto 3 working days for contact to be made.

Until you are contacted you are not yet registered at Dr Hamid's practice. 

 


Alternatively you may print off a registration form, fill it out and send it to the practice via post. 

pdfRegistration Form

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