Temporary Registration

Should you be visiting the area temporarily and are staying for under three months and require medical attention, please complete the Temporary Registration form.

If you are human, leave this field blank.

Patient Full Name: *

NHS Number:

Email Address: *

Contact Number:

Length of Time Staying in the Area *

Temporary Address: *

Home Address: *

Home GP Surgery Details:

Pharmacy Nomination

Pharmacy Name: *

Pharmacy Address: *

Pharmacy Postcode: *

Not sure what your closest pharmacy is?

Use the NHS Find a Pharmacy tool.

Important -

Our local NHS system, NHS Surrey Heartlands, would like to share some information with our patients about how we, along with the other practices in the area are working to provide ... Find out more

Important -

Do you need help during the cost of living crisis? If you do, please see the Cost of Living: Directory of Support document for information on the support available.

Important -

TUESDAY 22ND NOVEMBER. OUR TELEPHONE LINES ARE CURRENTLY DOWN. PLEASE CONTACT US THROUGH THE WEBSITE IN THE INTERIM OR ALTERNATIVELY TRY PHONING AGAIN LATER. WE APOLOGISE FOR ANY I... Find out more

Important -

Following a recent message to some patients in North West Surrey about changes to accessing video GP consultations from LIVI, we want to clarify what this means for how you access ... Find out more

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Temporary Registration

Pharmacy Nomination

New Patients