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

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.

Registration Form

Please also complete and send back the new patient questionnaire below so we have up to date information about you. This is because it can take a considerable time for us to receive your medical records. When you come to the surgery, you will need to sign the forms to confirm that the details are correct.

New Patient Questionnaire

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


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

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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