Registration Forms

Due to the current Covid-19 pandemic, please do not come to the Practice

Complete these forms and then email them to admin.poplargrove@nhs.net or post them to us. Our post box is 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.

Apart from the Patient Access form which is optional, ALL OTHER 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.

Select the appropriate age Registration Forms from the links below:

Required ID

It is helpful if you can provide photo ID and proof of address.  All forms of ID must be valid and proof of address must be current.

Acceptable proof of identity Acceptable proof of residency
   
  • Passport
  • Photo Driving Licence
  • Birth Certificate
  • Current EU photo ID card
  • Current Council Tax Notification
  • Mortgage Statement or Tenancy Agreement
  • Utility Bill (not mobile phone)
  • Bank Statement
  • Notification from employer
  • Notification from HM Revenue & Customs