New Patient Registration Form

NEW PATIENT REGISTRATION

Before requesting to register please check  your postcode to ensure that you are within our catchment area boundary

To register as a regular patient at Whitby Health Partnership please follow the steps below.

Step 1 –     For Both Adults & Children please complete the GP Registration Form

Step 2 –    Complete the appropriate Questionnaire below

• ADULT – NEW PATIENT QUESTIONNAIRE
• CHILD UNDER 16 – NEW PATIENT QUESTIONNAIRE

Please ensure that you have completed all sections including the consent for information sharing, details can be found in the leaflets below

Your Data Matters

Cheshire-Care-Record-information-leaflet

Step 3 –   Adults only – Please provide two forms of Identity Documentation for proof of person and residency

•  Preferably photo ID  such as Driving Licence, Passport
• Document with your address i.e. an up to date Utility Bill, Bank letter, Landlord tenancy agreement, Council tax bill/letter, Benefit letter etc.

Step 4 –  

If you wish to also include online patient access please visit Patient Online Services & Records Access for details on how to apply