New Patient Registration

If you would like to register with the practice please use this form.

You will need to live within our catchment area to register as a new patient at Paxton Green Group Practice.

After you have completed this online form and attached the necessary proof of identification you will be contacted by the practice to arrange a video meeting to confirm your identification.

Child Registration Under 5

In addition to proof of address, you will need to bring in your child’s Red Book (Personal Child Health Record) or provide us with a certified record of previous immunisations. Immunisation records are very important for the well-being of your child: collecting this information will ensure that we have an up to date record, including when the next vaccinations are due.

Registration of your Baby and Post Natal Care

If you are already registered with us and have just had a new baby, Paxton Green Group Practice would like to welcome your new baby to the practice and ask you to register your son or daughter with us as soon as possible.

Please complete this online registration form with your child’s NHS number and a contact phone number. Once we have received your online registration form we will contact you to arrange a post-natal check and baby’s first injections.

New Patient Registration

New Patient Registration

In order to complete your registration, please ensure that you have your driving license and passport available.

Patient's Details

Title *
Please use this date format: DD/MM/YYYY.
Sex: *
Can we contact you by text?
Can we contact you by email?

Ethnicity

Please specify the ethnic group you consider you belong to:
Do you speak English?
Do you read English?

Emergency Contact

Are they your Next of Kin?
Do you give us permission to discuss your medical records with them?

Electronic Prescription Service

The practice can send your prescription to your preferred pharmacy, please give us the name of this nominated pharmacy.

Allergies

Do you have any allergies?

Previous Details

Please include postcode.

If you are from abroad

Registering for the first time in the UK

Please use this date format: DD/MM/YYYY.

If you are returning from abroad

Previously been a resident in the UK

Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.

Carers

Do you have a carer?
Are you a carer for someone?
Do you give us permission to discuss your medical record with your carer?