Registering with the practice

If you live within our practice area (please check first using the Postcode Checker on our Practice Boundary Map page) you are welcome to register with us and our reception staff will be happy to guide you through the procedure.

PreRegistrationIf you wish to register, click on the link below to open the form. When you have completed all of the details email to burbage.surgery@nhs.net or print off & post/ hand to Reception. You will need to sign the form to at the end before we can proceed with the registration.

Please note that the surgery is unable to accept new patients who live outside the contractual boundary. Submitting this form is no guarantee that you will be able to register with us.

Adult Registration Form

Under 16 Registration Form

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

Summary Care Record Additional Information

If you are on any repeat medication, please make a GP appointment when you first register. If you wish, you can also arrange a New Patient Check with one of our nurses who will go through your medical history and address any health problems you may have. 

Dr James Downie or Dr Rebecca Style are our named GPs at this surgery.  If you would like to meet the doctors and staff before deciding to register, this can be arranged.

 

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