New Patient Registration

We are now able to register appropriate patients outside of our practice area.

• Patients who live within the area shown below, requiring a home visit, can be visited by a WHMC clinician as clinically indicated.
• Patients living outside of this area requiring a visit would be seen by a GP from a local practice or 111 as per national protocol.
• Out of Area registrations is intended to help patients to facilitate face to face appointments i.e. for those who live or work nearby. 
• Any patient who is out of our practice area who is likely to require home visits or has mobility issues and would struggle to come in at short notice, should register with a GP that is local to them whose catchment area they fall within.
• Similarly, any patient who has needs that require a locally based teams such as district nurses, mental health teams, psychiatry, health visitors and social care should register with a local surgery within their borough as there will be issues accessing these services linked to our practice.
• We will also not be a part of or have access to any integrated local multidisplinary teams or other professional networks like primary care networks outside of our area.
• Finally, all out of area patients registering with us should be able to commute easily to our surgery for appointments as well as to be able to access local services including investigations and blood taking services based at local services. 
• In simple terms, out of area registrations are intended to facilitate face to face appointments for patients ie make it easier for patients to see a GP and not the opposite.

CHECK YOUR POSTCODE ON YOUT BOUNDARY MAP

Previously been registered with the NHS in the UK

Footnote: These questions are optional and your answers will not affect your entitlement to register or receive services from the NHS but may improve access to some NHS priority and service charities services

For a list of EEA countries visit: www.gov.uk/eu-eea

If you are visiting from another EEA country and do not hold a current EHIC (or Provisional Replacement Certificate (PRC))/S1, you may be billed for the cost of any treatment received outside of the GP practice, including at a hospital.

Please enter the details from your EHIC or PRC below.

Please give your S1 form to the practice staff.

HIV:All new patients above the age of 16 are eligible to have a HIV blood test. If you would like this please request a blood test form from reception

Chlamydia: If you are sexually active you can do a self-taken Chlamydia test. These are available in the toilets of the surgery and can be handed in to reception.

If you are drinking less than 14 units of alcohol per week, then your drinking is within the UK Chief Medical Officers' low risk drinking guidelines.

But if you are drinking regularly at or above the low risk guidelines of 14 units a week, or, you are drinking six or more units - if you are female - or eight or more units - if you are male - in one single session (binge drinking), please consider the increased serious risks to your health being caused by your current drinking pattern.

We encourage all patients to obtain online access to their records.

This will allow you to use patient apps like the NHS App which will allow you to: book appointments, make online consultations with us for simple requests using eConsults, request repeat prescriptions and look up information on your medical records like immunisations, blood test and other results with comments  as well as update donation preferances.

For us to be able to enable this functionality we need to confirm your identity so please ensure you upload your photo identification and proof of address as requested at the end of this form (page 4).

If you do not return this form, a Summary Care Record will be created for you based on implied consent

NHS Organ Donor Registration

REGISTER WITH NHS

 At this stage we will be mainly noting your preferences internally. However, if contacted by the transplant service we would notify them of your choices and therefore by ticking a box you are confirming your agreement to the organ/tissue donation.

Please leave this section blank if you do not wish to register you preferences

NHS Blood Donor registration

REGISTER

At this stage we will be mainly noting your preferences internally. However, if contacted by the blood & transplant service we would notify them of your choices and therefore by ticking a box you are confirming your agreement to the organ/tissue donation.

Please leave this section blank if you do not wish to register.

MORE INFOR ABOUT THE PPG

For new registered patients, the practice offers 1 day gym pass at Virgin Active Swiss Cottage

• By requesting a pass we are required to securely submit your Name, Email and Mobile Number to Virgin Active for them to process your 1 day pass.
• They will not use your data for any other purposes.