Boundary Area
Catchment Area
If you are living in our area and wish to register with us, please complete all of the following forms by clicking on each of the links below in our Registration Pack. The proxy form is for a guardian/parent to have access for a child under 11 years old to book their appointments and order medication.
- Register with us online here
- GMS1 Registration Form
- Adult Registration Form (the Child Registration Form if under 16 years old)
- Online Access Registration Form
- New Patient-Practice Agreement Form
Please print off and complete all the appropriate forms, depending on the age of each patient wanting to register. You can either then pop them in the post or email them to us at swlicb.centralsurgery@nhs.net with a copy of the following documentation;
One photographic proof of identification, either a photo driving licence or passport
AND
One proof of your current address, which can either be a recent utility bill (no less than 2 months old), or a mortgage / bank statement or a letter from your landlord or a rental agreement.
PLEASE NOTE THAT WHERE THERE ARE SEVERAL PEOPLE FROM ONE HOUSEHOLD REGISTERING YOU MUST EMAIL EACH PERSON’S REGISTRATION APPLICATION WITH SUPPORTING EVIDENCE SEPARATELY.
All our new patients are offered a health check with a member of our clinical team to check that all required tests are up to date and that we have an accurate note of any repeat medication you may be taking.
YOU MUST ALLOW AT LEAST 7 WORKING DAYS FOR YOUR ACCOUNT TO BE REGISTERED. PLEASE ENSURE THAT YOU HAVE COMPLETED ALL THE RELEVANT FORMS INCLUDED IN THE REGISTRATION PACK BEFORE SUBMISSION. INCOMPLETE APPLICATIONS WILL DELAY YOUR REGISTRATION.
If you need any help with this process, please email us at swlicb.centralsurgery@nhs.net where our team will be happy to assist.