Temporary patient registration

Use this service to register as a temporary patient.

You can use this service if you:

  • want to register at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on Peartree Lane Surgery 01707 329 292 or Moors Walk Surgery 01707 329 292 for more guidance.