Registration with the Practice
If you wish to register and you live in the practice boundary please complete the form below on a PC (some mobiles/tablets might work but we know there are problems). This is now in 'Word' format so you can save it and finish or submit it later. University of Leicester students should contact our reception staff if they live outside the above boundary as they may still be able to register.
IMPORTANT - USUAL ERRORS
INCOMPLETE FORMS - Please check every question has been answered.
Please give your NHS number if you have one. It is in this format nnn nnn nnnn, for example 123 456 7890.
You MUST expect to live in the practice boundary for 3 months or more (see 'Temporary Resident' if you are here for less than 3 months).
If you have NEVER had a UK GP before, we need the date you entered the UK
The Previous address for all applicants is the one your previous UK GP had for you.
If you get a message to call us about your registration it is usually because the NHS has a different address than the one you gave us, please call us urgently.
HOW TO SUBMIT
If you have access to a Fax machine you can send it to us on 0116 2151100
You can print it off after completion and bring it in or post it to us at the above address
Email from an account that is not nhs.net is not advised due to security risks, if you choose to take the risk please use firstname.lastname@example.org (THIS EMAIL IS NOT TO BE USED BY COLD CALLERS, SUPPLIERS OR FOR ANY OTHER PURPOSE).
WHAT HAPPENS NEXT
If you have included a mobile number and consented to receiving messages we will send you a message when your application has been processed. You should then bring in identification to obtain your ONLINE SERVICES access details.
'New Patient Registration' Application form