Patient Services

Registration

Not Registered with a GP Yet?

Kirkholt Medical Practice is currently registering patients.

It’s simple and easy. All you have to do is fill in the forms below, book an appointment and then come to see us!

We’ll contact your old GP and take care of everything else for you, so don’t leave it till you’re ill – JOIN TODAY.

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How To Register

In order to register with Kirkholt Surgery you need to fill in two forms and attend a new patient health check (if you are over 15 years old). The two forms can either be obtained from our reception desk or you can download them from this page.

If you download the forms, give us a call to make your new patient check appointment.

During this new patient check we will take some basic measurements such as your height and weight and then take a brief medical history from you. It’s nothing to worry about, we simply want to get to know you and your health a little better.

The health check usually takes around 25 minutes or less to complete and once its done you will be registered with the surgery and be free to make appointments with any of our Doctors and other clinical staff.

DOWNLOAD THE ADULT REGISTRATION FORMS

DOWNLOAD THE CHILD REGISTRATION FORMS

What to Bring to Your Appointment

When you come to your new patient check we ask that you bring a few things with you:

1
The two registration forms fully complete and signed
2
A urine sample (either take away a pot and bring it back with you or provide one on the day)

3
A list of any medication you are on. This will help to reduce any delays in you getting your next prescription
4
Two forms of identification – One form of personal indentification and one proof of address

5
If your child is under 5 years old, their Red Immunisation Book

We may not be able to register you if you cannot provide us with some form of identification and proof of address as this is an NHS requirement

Accepted Documents

Personal Identification:

Passport or Identity card
Birth certificate

Driving license*
Marriage certificate

NHS Medical Card
Student I.D card

Proof of Address:

Bank statement
Rent book / tenancy agreement

Council tax statement
Wage slip (if it includes home address)

Council tax statement Utility bill (dated within last 3 months)
Official letter (Home Office / DWP)

*Driving license and Medical Card cannot be used as both proof of address and as identification

If you need any further information please contact reception on 01706 261813.

Please be aware that we only register patients who have the following postcodes:

OL10

OL11

OL12

OL15

OL16

M24