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Brunel New Patient Registration Forms

PreRegistrationTo register with the practice, you must complete the Brunel Medical Practice New Patient Form and the GMS1 Registration Form.  These are available below for you to print off and complete.

Once you have completed and signed the forms, please hand both forms in to the surgery in person.

N.B. you will need to complete both the New Patient form and the GMS1 registration form to enable us to complete your registration.

You will also need to provide proof of identity to register. This can be TWO forms of photographic ID (eg passport/driving licence/bus pass/armed forces ID card etc) OR ONE form of photographic ID PLUS a bank statement (not a copy). Please note that no copies will be made of bank statements and these are used purely to cross-check against photographic evidence.

Adult Patient Registration Form

Child Patient Registration Form


pdfRegistration Form

You will also need to provide proof of identity to register. This can be TWO forms of photographic ID (eg passport/driving licence/bus pass/armed forces ID card etc) OR ONE form of photographic ID PLUS a bank statement (not a copy). Please note that no copies will be made of bank statements and these are used purely to cross-check against photographic evidence

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