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Registration

If you live within our practice area and would like to register as a patient with North Shore Surgery practice, you can submit your application in a number of ways:

  1.  You can fill in the online per-registration form below. On your first visit to the surgery you will need to sign the form to confirm that the details it contains are correct.
  2. You can visit the surgery and ask the recption staff for a registration form.
  3. You can print off a registration form and GMS1 form, complete it and bring it in with you when you first visit the practice.

GP Registration Form Download          GMS1 Form Download

Online Pre-registration

  • Contact Details

  • Previous GP

  • Next of Kin

  • Additional Patient Information

  • Family History Information



    The following questions relate to your parents, brothers, sisters and grandparents:
  • Alcohol



    1 drink = ½ pint of beer or 1 glass of wine or 1 single spirit
  • Smoking

  • Current Medication



    Please list all medications you are currently taking:
  • Ethnic Origin



    This questionnaire follows the recommendations of the Commission for Racial Equality and complies with the Race Relations Act.

    Please indicate your ethnic origin. This is not compulsory, but may help with your healthcare, as some health problems are more common in specific communities, and knowing your origins may help with the early identification of some of these conditions.
  • Care Information

  • If yes, please provide the following information:
  • Other Information

  • Confirmation



    We cannot guarantee that the internet is secure, and the transmission of data is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions. If you do not wish to use the online form, please feel free to contact the practice directly on 01253 957 666.