New Patient Registration

Anyone living within the WD23 is welcome to register at the surgery.

All new patients are requested to complete registration forms which can be collected from reception or downloaded below. Registration can only be finalised when all forms are completed in full, your NHS number is required and details of baby immunisations for those parents registering children.

If a new patient would like to make an appointment with the nurse for a mini medical this can be arranged once your registration is complete. Registration may take up to three days.

If you are new to this country you may be asked for paperwork to show your intention to remain in the country.

Registration Forms

To save you time you may print off and complete the forms below.

Adult Patient Registration Form

GMS1 form

(please make sure you have printed and filled the GMS1 form, along with either an Adult or Child form)

Child registration form (under 16)

If you are not sure whether to have an Summary Care Record or not please click on this link for information to help you make your decision www.nhscarerecords.nhs.uk

Your health records contain confidential patient information, which can be used to help with research and planning. If you would like this to stop, you can opt out https://www.nhs.uk/your-nhs-data-matters/

Your Data Matters (National Data Opt Out) Info (PDF, 319KB)

Moved to the UK: Get Up-to-date with your vaccinations (EXTERNAL LINK)

Temporary Patients

Anyone who is resident in the UK, but is temporarily in this area and unwell can register with us for temporary medical services. To do this you will need to fill in a form (known as a T.R. form). Visitors to the area from abroad may be allowed to be seen under the NHS, please contact the surgery for details.

Visiting the UK (PDF, 342KB)

Little Bushey Surgery Catchment Area

All practices are required to have agreed an “inner” boundary with their commissioner (NHS England or CCG). Anyone who resides within our inner boundary is entitled to apply to register for primary care medical services.

Practice Area Map