New Patients

All newly registered patients are offered a health check with our healthcare assistant. This provides us with the opportunity of taking a brief medical history before we obtain your medical records. Medical treatment is offered from the date of registration.

To register we require proof of address and photo ID (passport or driving licence), and to complete the relevant forms below. Your application usually takes two days to process.

If you are registering a child please remember to include details of the nursery or school the child attends.

Form downloads:

Adults - over 16's
New Patient Registration/Health Questionnaire Form 
Family Doctor Services Registration GMS1 Form
Alcohol Audit Form
Summary Care Records Request

Under 16's
New Patient Registration/Health Questionnaire Form 
Family Doctor Services Registration GMS1 Form 
Summary Care Records Request
 
Under 5's
New Patient Registration Form
Family Doctor Services Registration GMS1 Form
Summary Care Records Request

 

Private Patients

If you are an overseas visitor from outside the EU and you need urgent medical treatment from the doctor, you may be seen as a private patient for which there will be a cost for the consultation and prescription if needed. In most cases this fee can be claimed back from travel insurance.

Temporary Residents

Please telephone the surgery if a visitor to your home requires a doctor. We can make arrangements for them to be treated on a temporary basis.

Your Neighbourhood Professionals Countrywide Tax & Trust Corporation Ltd Coventry Church (Municipal) Charities M Hussain (Chemist) Ltd Franklin Funeral Directors Ltd Allure Laser Clinic
© Neighbourhood Direct Ltd 2017
148 Kensington Road, Earlsdon, Coventry , CV5 6HY
  • Telephone 024 7667 2466
Practice Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals Countrywide Tax & Trust Corporation Ltd Coventry Church (Municipal) Charities M Hussain (Chemist) Ltd Franklin Funeral Directors Ltd Allure Laser Clinic
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