Registration

We are currently accepting new patient registrations.

The practice does not discriminate on the grounds of race, social class, age, religion, sexual orientation, appearance, disability or medical condition.

If you wish to join the practice and register as a new patient please follow the steps below:
DUE TO COVID-19 OUTBREAKE BELOW PROCESS HAS TO BE COMPLETED ELECTRONICALLY – EMAIL ALL DOCUMENTS TO – samuel.khan@nhs.net
WITH SUBJECT HEADING “New registration”

THE PROCESS

  • Make sure you live within the boundaries of our catchment area, which currently consists of parts of E15, E7 and E13
  • Fill in the following forms:

  • A – GMS1 registration form
    • Ensure the following are included:
    • Previous surname (if any)
    • Town and country of birth
    • Home address with postcode
    • Telephone number
    • Previous address
    • Name and address of previous GP
    • If appropriate, date of arrival in the UK

  • B – If the patient is 16 and over, please print, fill in and scan the following form with at least:
      • 1 Proof of ID ( Either Passport / Photo Driving License / Identity Card or UK Birth Certificate
      •  1 Recent Proof of Address (issued within 3mths): Bank statement/ Recent Council Tax Bill/ Gas / Water or Electricity Bill
  • C – If the patient is 15 or under, please print, fill in and scan the following form with at least:
    •  1 Proof of ID : Passport or UK Full Birth Certificate
    • Evidence of association with either their parent or guardian
      (this is usually detailed on their FULL birth certificate or an official parental responsibility document)
    • Immunisation record for every patient compulsory for patients under 6years of age
    • Newborn Discharge Letter from the Hospital (for children less than 2 months old)

PLEASE ENSURE YOU COMPLETE THE GMS1 FORM AND THE NEW PATIENT REGISTRATION FORM

Once the forms are completed, please email all documents to samuel.khan@nhs.net with subject heading “New registration”

Once the forms have been received, we will review them and contact you with the outcome.