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Pre-Registration with the practice

PreRegistrationIf you qualify for registration and wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us.  You will then need to telephone the surgery on 0161 736 1616/1021 or Victoria Road surgery on 0161 789 3722 to arrange your new patient check appointment.

PLEASE NOTE :

We cannot complete your registration until you have completed both forms below and attended the surgery with photo id and proof of address and an appointment has been booked for your new patient health check with a nurse assistant

Registration Form
Online medical questionnaire for new patients

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.

 


Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

 

Registration Form

 

 
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