PLEASE COMPLETE BOTH THE PRE-REGISTRATION FORM (GMS1) AND A HEALTH QUESTIONNAIRE BELOW
IF WE DO NOT RECEIVE BOTH FORMS YOU WILL NOT BE REGISTERED
If you wish to register, you will be asked to fill in a registration form which includes a medical questionnaire. It can take a considerable time for us to receive your medical records and this provides us with a "snapshot" of you health and requirements. Alternatively, please print off a registration form, fill it out and bring it in with you on your first visit to the practice. You will also need a utility bill as proof of your address.
You will need to complete one of the forms below with each Pre-Registration Form. We also require 2 forms of ID for each application.
Once completed please email to: WARCCG.CCAChapelford@nhs.net
**If you have completed a form to register your interest in joining our Patient Participation Group (PPG) but not yet heard from them. Can you please email again as it may be there was a problem with the email address provided. Thank you