West Farm Surgery

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Patient Access

Pre-register as a New Patient

Please use the form below to pre-register with us as a new patient. You won’t be fully registered until you have attended the Practice and provided confirmation of your identity.

Completion of this form does not automatically register you with the Practice or imply that you will be registered with our Practice.

Application to Register with a General Medical Practitioner

Preliminary Questions

Please answer these preliminary questions to allow us to structure the the form to only present questions relevant to you.