Get Registration Pack - Minchinhampton Surgery

This guide provides clear instructions on how to fill out the Registration Pack for Minchinhampton Surgery online. Each section of the form is explained in detail to ensure a smooth registration process.

Follow the steps to complete the Registration Pack efficiently.

1. Press the ‘Get Form’ button to obtain the Registration Pack and open it in your preferred digital format.
2. Complete the patient's details section. Fill in your surname, first names, date of birth, NHS number (if applicable), and your previous surnames. Ensure all entries are in block capitals.
3. Indicate your gender by selecting 'Male' or 'Female.' Provide details about your birthplace, home address, postcode, and contact telephone number.
4. To assist in tracing your medical records, provide your previous address in the UK and the name and address of your previous doctor.
5. If applicable, fill in the relevant fields if you are a foreign national, including your first UK address and your date of leaving the UK.
6. If you're a child under 5 or registering on behalf of a child, provide consent for Child Health Surveillance, and confirm details regarding your registration.
7. For medication needs, tick the appropriate boxes to indicate your eligibility for your doctor to dispense medicines based on your distance from a pharmacy.
8. Complete the organ and blood donor registration sections if you wish to register for these services. Confirm your consent by signing and dating these sections.
9. Securely review your information for accuracy. Ensure you have filled in all required fields before finalizing your submission.
10. Once you have completed the form, you can save any changes, download the completed form for your records, or print it for submission.

Complete your Registration Pack online to gain timely access to Minchinhampton Surgery services.