St Thomas Road Patient Registration

If you would like to register with St Thomas Road Surgery, please use this form.

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

To confirm your registration, we will require identification (this should be photographic, such as a passport or a Photo Driving Licence) which can be attached to this form.

Use this service to find your NHS number: www.nhs.uk/find-nhs-number

New Patient Registration
Practice you want to register to: *

Patient's Details

Title *
Please use this date format: DD/MM/YYYY.
Gender assigned at birth: *
If you do not know your NHS number please visit www.nhs.uk/find-nhs-number
Any responses we send will go to this email address.
Is the patient under the age of 16? *

Patients under the age of 16 should complete the Child New Patient Registration form

Ethnicity

Please specify the ethnic group you consider you belong to:
Do you speak English?
Do you read English?

Allergies

Do you have any allergies?

Previous Details

Please include postcode.
Have you been registered at another surgery before? *
To find your NHS number you can contact your previous surgery and ask them for it. Alternatively, it is also available on your prescriptions or any medical letters you may have received or you can visit www.nhs.uk/find-nhs-number.
You can find this on your prescriptions or any medical letters you may have received.

If you are from abroad

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