************Registration*****************

How to Register Online

Online 'Pre-Registration' With The Practice

If 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

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Online Medical Questionnaire For New Patients

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.

Patient Access Password Security The security of personal data is of utmost importance to us. We realise how sensitive any information relating to our users’ health is, and we are dedicated to ensuring its safety and privacy. With this in mind, we are implementing two new security measures within Patient Access which should take effect by the end of July.

Security PIN code

In line with data security best practice, we are introducing an additional authentication step for use when signing in to Patient Access. Users will be asked to set a five-digit security PIN code that they will need to enter when signing in to the app, as well as their password.

You can read more about Patient Access security PIN codes.

 Mobile phone number

We will be asking all Patient Access users to provide us with a mobile phone number if they have not done so already. This is so that we can further authenticate them if they need to reset their password. Users do not have to provide us with their mobile phone number - it is an optional security measure - but we highly recommend that they do so to help further protect their data.

Find more information about adding and verifying mobile numbers.

We will be emailing all Patient Access users over the next 3 weeks to inform them of these updates and asking them to contact the Patient Access Support team rather than their GP practice if they have any questions. However, it’s still possible that some patients might contact your surgery. If this happens please simply ask them to visit our Patient Access support site where they can contact us directly.

Registration

How to Register

If you live in our practice area and would like to register with us, please complete one of our registration forms that are available from all our receptions or downloadable below. You will be registering with the practice rather than an individual GP, but we will do our best to give you an appointment with your preferred GP.

Download the New Patient Registration form (GMS1 form)

New Patient form

Alcohol Audit

Pre-registration Form

Online Medical Questionnaire For New Patients

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.

Due to the escalated situation concerning Coronavirus and new guidelines received, please be advised that all appointments for the foreseeable future will be triaged via telephone and if it is deemed necessary by a clinician you will be invited into the surgery for a face to face appointment.  Thank you for your co-operation at this time.

Coronavirus testing information

By calling 119, members of the public from Staffordshire, Stoke-on-Trent and across the UK, who don't have online access, can book a coronavirus swab test and ask any questions relating to having a test and getting results.  This includes drive through test sites, mobile test units and home tests.  

The Call Centre handles all enquiries about the testing process, from how someone books an appointment, to what they do upon receipt of their result. 

The Centre is open from 7am to 11pm and can be accessed by people with speech or language difficulties by calling 18001 0300 303 2713, as well as by people whose first language isn't English.

………………………………………………………………………………………………………………..

FRONT LINE STAFF SUPPORT LINE

In the current climate of increasing pressures on our healthcare system, our NHS people potentially face significant stresses.

A confidential staff support line has been introduced, operated by the Samaritans and free to access from 7:00am – 11:00pm, seven days a week.