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Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Pre-registration Form - Buntingford Medical Centre

Pre-registration Form - Standon & Puckeridge Surgery

When you register you will also be asked to fill out a New Patient Questionnaire. This is because it can take a considerable time for us to receive your medical records.

Please print this form via the link below and drop in to the practice.

 

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.


Alternatively you may print off a GMS 1 registration form and New Patient Questionnaire, fill it out and drop it in  to the practice.  Please allow 3 working days for your registratin to be processed.

Registration Form

New Patient Health Questionnaire

 
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