Registration Forms – New Patients

To register as a regular patient at Whitby Health Partnership please follow steps one to four.

Step 1 –Both Adults & Children please complete a GMS1 Family Doctor Services Registration Form

Step 2 – Complete the appropriate Questionnaire below for each family/household member

• ADULT – NEW PATIENT QUESTIONNAIRE
• CHILD UNDER 16 – NEW PATIENT QUESTIONNAIRE
• My child’s immunisation history – Please complete one form for each child, information can usually be found in the immunisation booklet

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 –Document Submission – Please ensure that you have included all the necessary documentation from steps 1, 2 & 3

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