New Patients Registration


If you live in our practice area and would like to register with us, please complete one of our registration forms which are either available to download on the link below or you can pick one up at reception (Please note that if you choose to download the form you will still need to hand it in at reception as we require you to show identification before we can complete your registration). We request that you complete a new patient questionnaire and submit it with your registration form.

Once your form is submitted you will be allocated a registered doctor; however, you can request any of the doctors when booking an appointment.

Please click here to download a new patient registration form.

New patients may also book an appointment with one of the practice nurses for a new patient health check. This is particularly advisable if you are taking regular medications or have any long-term conditions or problems.

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Contact Us

The Village Surgery
The Village Surgery
12 Elbow Lane
L37 4AW
Tel: 01704 878661 - 01704 879430
Fax: 01704 385052