Thank you for your interest in joining our practice. Due to high demand, our clinic is frequently operating at full capacity. You are welcome to submit your details to join our waiting list; however, we cannot guarantee a place, as we only review the list and accept new patients periodically as capacity allows.
A member of our admin team will be in touch with you by email or phone when capacity allows.
Please complete the following form carefully. The information will be used to create your personal medical record on the practice computer.
Our practices are consistent with the Medical Council guidelines and the privacy principles of the Data Protection Acts. For further details please see our Privacy Statement.
Nb: Submitting this form does not guarantee acceptance to the practice. If you are accepted as a new patient and have a chronic medical condition or take regular medications, we request that you arrange an appointment soon after.
Please note one application per person applying to join the Practice.
If you would prefer to submit the form in writing, please contact reception for a form.
The practice would like to contact you by text message (SMS) regarding appointment reminders, test results and practice updates.
By submitting this form you will be sending personal/sensitive information about yourself across the Internet. Please read our privacy statement to discover how we protect and manage your submitted data. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of contacting the practice.
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