Please note, due to COVID-19 Registration Documents cannot be brought into the Practice, but can be posted through the door.
Registration – Important information
In order to register with Broad Lane Surgery please make sure you complete all of the documentation provided below and bring it along to the surgery with proof of identification and address (see below the list of ID we accept).
Click here to download Our Policy for Registering New Patients
The downloadable new GMS1 (PDF, 206KB) (purple form) is a legal document and it must be completed in full. Please read the GMS1 Leaflet (PDF, 1.10MB) before completing
The New Patient Questionnaire must be completed see below options and brought into the surgery along with the GMS1 form. If you have any communication difficulties or communication preferences please include.
Adult new Patient Questionnaire
Child New Patient Questionnaire
Baby New Patient Questionnaire
On Line Appointments & Prescription Application
Online Medical Records Application
Online Patient Records Access Leaflet (PDF, 339KB)
Data Opt Out Form
Broad Lane Surgery Privacy Information Leaflet
Register As A Carer
Prescription Procedures
IDENTIFICATION: (one item of photo ID needs to be seen)
Passport
Entry clearance document (stamped)
UK photocard driving licence
Current residence permit (stamped)
Benefit/pension book (not card)
HMRC document
ID card for foreign nationals
ADDRESS:
Housing contracts
Utility bills
Bank statements
Residence permit
Letter from IND/BIA (with stamp)
HMRC document
Work permit
Official insurance documents
(The lists are not exhaustive)