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Registering

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 (purple form) is a legal document and it must be completed in full. Please read the GMS 1 Leaflet leaflet before completing
The New Patient Questionnaire must be completed see below optionns 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

On Line Medical Records Application

Online Patient Records Access Leaflet

 Data Opt Out Form

Broad Lane Surgery Privacy Information Leaflet

Click here for our Registration Policy

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)

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