Official Facebook for Upton Village Surgery 

New Patient Registration

stethescope_on_calendarIf you live within our practice area and wish to register as a patient please contact the surgery and they will explain the process.

If necessary, an appointment will be made for your new patient health check, which will be carried out by a member of our nursing team.

You will be registered with one of the partners although patients are free to consult with a GP of their choice.

We have a defined practice area. Please look at our practice map and enter your address to see if you live within our boundary. The green area is our outer boundary. This area allows existing patients who move from the yellow area to the green area to remain registered with the practice.

How to register?

We require the following 4 documents

1. GMS1 Form

2. New Patient questionnaire

3. Photo ID*

4. Proof of address*

Please email all pictures of completed documents and proof of ID/address as an attachment to the following email address

Thank you

*Anyone in England can register with a GP surgery. You do not need proof of address or immigration status, ID or an NHS number.

A GP surgery can refuse to register you because:

  • they are not taking any new patients
  • you live outside the practice boundary and they are not accepting patients from out of their area
  • you have been removed from that GP surgery register before
  • it's a long way from your home and you need extra care, for example home visits

GMS1 Form 

Upton Village New Patient Questionnaire 

New Patient Questionnaire

Temporary Registration

If you are needing to see a GP whilst being here for a visit or temporary stay (please check the Surgery Boundaries) please fill in the form below

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