You need to download both the registration forms listed below.
Please return the completed forms to the practice.
The documents need to be filled out accurately and all areas need to be completed. If information is missing the reception team will not accept the registration.
Patients must have a new patient check before booking an appointment at the practice, this is to ensure we have your medical history.
We ask all new patients to contact the practice after 7 days of submitting your registration forms to ensure that their registration is complete.
Both documents need to be printed and filled out complete with patient signature and date.
We will not allow children to register at the practice without their parent or legal guardian.
If you require any further information in relation to registering at York Road Surgery please contact a member of the team
Thank You
PRF1 registration form
New Patient Questionnaire (DOCX, 27KB)
Practice Boundary