Registration Forms – New Patients

NEW PATIENT REGISTRATION

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

Catchment Area Boundary Postcode Checker

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

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