New Patient Registration

We are using a new online service called Register with a GP surgery that makes it easy to register with this GP surgery.

Just fill in this quick online form to start the process. You do not need proof of address or immigration status, ID or an NHS number.

The service is designed and run by the NHS, so your personal information is safe. It cuts our administrative workload and makes it easier for you to register.

Paper forms are still available if you need one and can be collected at reception. You can also submit the forms via email by clicking the Email Forms tab, completing the required details and then clicking ‘Send’. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

All registrations must include BOTH forms below.

  • Form 1 -NHS GMS1 Form 
  • Form 2 -Jacksdale Medical Centre Health Information Form

We ask you to complete the health questionnaire at the time of registration. This questionnaire will include questions about lifestyle and medical history and must be completed alongside the NHS registration form in order to register.

If you wish to gain online access to your medical records, we will need to see you in person with some photo ID to verify your identity. This is due to the confidential information accessible on the online access platforms. 

If you are ill while away from home or if you are not registered with a doctor but need to see one, you can receive emergency treatment from a local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient.

You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice.

Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

To do this, please complete the form in the ‘GMS3 Form’ tab and click ‘Send’. You can collect paper copies of this from us too. 

Temporary Patient Registration

Have you ever been registered at this practice before, either as a temporary or permanent resident?
Title
Date
Gender
Temporary Address
Permanent Doctor's Surgery

Boundary Area

Catchment Area