If you wish to register, click on the link below to open the form or pick up a form from reception. When you have completed all of the details, please print off and bring with you when you visit the surgery for the first time.
We ask that you also bring along with you:
- Photographic ID
- Proof of your current address
Registration form – click here for the registration form
Complete our patient questionnaire here.
The information will help the health care team to make an initial assessment of your health which will help in your future treatment.
When you have completed the form, please return it to the surgery via email to Pontelandmedical.firstname.lastname@example.org