Registration Forms - Adults [16yrs upwards]

Complete these forms and then email them to admin.poplargrove@nhs.net.

Please note; the above email address is used ONLY for new registrations, change of address/contact details and online access. Any other emails will NOT be picked up.

Alternatively you can post them to us or pop them in our post box located at the entrance opposite the Pharmacy.

NB: Please do not send in pictures of these forms, as they are often illegible, send in by post if you are unable to scan these documents.

ALL FORMS ARE MANDATORY.

If possible please scan and send a copy of your photo ID and proof of address along with the registration forms, one form of each is sufficient..    

It would be helpful to have your NHS number which you can get from your previous GP if you do not know it.

Please note incomplete or illegible form will be returned to you unprocessed.