REGISTRATION & PROXY ACCESS
REGISTER AS A NEW PATIENT
Our register is open and we are accepting registration requests from patients living in our catchment area. Please click on Practice Catchment Area to see if you can register with us. Registrations are usually completed within 7 working days of receipt.
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.
- 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.
TEMPORARY PATIENT REGISTRATIONS
If you are ill while away from your usual gp surgery and staying with someone in our catchment area we may be able to provide you immediate and necessary treatment, depending on our appointment availability on the day and if it is deemed that your medical problem is urgent. You may be signposted to 111, the urgent care unit at Teddington, Kingston Chambers Extended Hours Access Hub or 999.
If we can see you, you will need to register as a temporary patient and may have access up to 14 days.
PROXY ACCESS FOR CHILDREN
Parents/Guardians - You will need to complete this application form to be considered. After receipt of your request you should hear from us within 14 working days.
This is access you can request for another patient, subject to passing identity checks and their written permission. It may enable you to book appointments, order repeat medications, see their immunisation history and test results/investigations.
- Proxy access for children
- Consent to proxy access to GP online services for a child
- Proxy Access Information Leaflet.docx
PROXY ACCESS FOR ADULTS
This is a function you can request for another patient subject to passing identity checks and receiving their written permission, to book appointments, order repeat medication, see their immunisation history and their test/investigation results.
You will need to complete this application form to be considered. You should hear from us whitin 14 working days, regarding your application.
- Proxy access for adults
- Proxy Access Information Leaflet.docx
- Consent to proxy access to GP online services for an adult.docx
MOVING OUT OF THE PRACTICE CATCHMENT AREA
Central Surgery has a strict registration policy which states that if a patient moves out of the practice's catchment area the patient will not be able to stay with us and will have to register with a GP in the area where they move to.
This is so the surgery remains non discriminatory and is fair to all those patients who live in the practice’s catchment area to be able to get an appointment.