New Patient Registration

Step 1

Check you are within the practice's catchment area:

Each practice has a catchment area within which they can accept new patients. 

Step 2

Complete Registration Form 

The registration form will ask you for personal details such as your name, address, date of birth, telephone number, previous address and doctor. This information helps the Central Operations Team to quickly trace your medical records and send them to your new surgery. 

You will be asked to complete some additional information forms, we can then collect important information relating to your health and your future care.We ask, where possible to see 2 forms of ID-one of which needs to be photo ID. Examples of these can be your passport, driving licence, utiility bill or a letter with your address on.

Please Note: The new patient registration form is a legal document and needs to be:

  • filled in, 
  • signed
  • and brought to the practice

Without a correctly completed and signed form the practice cannot proceed to register you as a patient.

Once you are registered you will be allocated a named GP.


If you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Pre-registration Form

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Online Medical Questionnaire For New Patients

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.

Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

pdfRegistration Form

Change of Address or Telephone Number

Please advise the receptionist of any change to your contact details. We will ensure your records are updated.

Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide below.

pdf A Patient Guide to GP Services

How to register with a GP if you are Homeless, Asylum seeker / refugee or from Gypsy, Traveller and Roma Communities.

pdfHow to register with a doctor (Gypsy, Traveller and Roma Communities)

pdfHow to register with a doctor (Asylum seekers and refugees)

pdfHow to register with a doctor (People who are homeless)

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Contact Us

Ainsdale Village Surgery
2 Leamington Road
Tel: 01704 577866
Fax: 01704 395875