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Registering with the surgery

To register as a patient with the practice, you must be resident within the practice area (see map). When you call into the surgery to register, you will be given a registration form and a new patient questionnaire to complete. You will also be handed a practice booklet. Please try to complete the questionnaire as accurately as possible as it can often take time for your medical notes to be transferred to us from your previous practice.

All new patients are required to prove who they are and where they live. A piece of photographic identification (e.g. passport or driving licence) and evidence to confirm the address (e.g. utility or Council tax bill) will suffice. For children under 16 the birth certificate and / or passport is preferred. Original documentation must be seen but will be returned to you immediately once verification checks have been undertaken.

Leaving the UK

If you leave the UK for more than 3 months your name will be removed from the list of registered patients.

Data Sharing

Please see the information leaflets below. 

CLICK HERE to download the patient registration form (GMS1)

CLICK HERE to download the New Patient Questionnaire - ADULT

CLICK HERE to download the New Patient Questionnaire - CHILD UNDER 15

CLICK HERE to download information about Summary Care Record

CLICK HERE to download our Information for New Parents leaflet

National Data Opt Out Programme - the national data opt-out is a new service that allows people to opt out of their confidential patient information being used for research and planning. Patients can find out more and set their opt-out choice at

Your Neighbourhood Professionals. Just a Click Away!
Well Lane, Stow-on-the-Wold, Gloucestershire, GL54 1EQ
  • Telephone (01451) 830625
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away!
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