New patient registration Form

Thank you for your interest in joining our Middlewood family.

Please take the time to fill in the form.  It may take a little time as it is quite detailed but will allow to have some background information to help us help you from day one of your time with us.

It can take some time for your medical records to arrive with us and so this will allow us to treat you whilst we wait.

If you are unable to answer any questions please leave them blank and this can be picked up in your new patient appointment.

Our online registration form is currently offline for maintenance.

You are able to download paper registration forms – you need to complete a GMS1 form for a permanent patient. Plus, please download and complete the new patient questionnaire form – when completed drop through the letter box at any of the Middlewood Practices or you can send via email to ecccg.middlewood@nhs.net

Please note every person joining the practice needs to complete a registration form

Sorry for any inconvenience caused.