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Online 'Pre-Registration' With The Practice

PLEASE DO NOT FORWARD YOUR REGISTRATION FORM VIA THE WEBSITE, AS DR K H BUCH IS NO LONGER ACCEPTING NEW PATIENTS.

 

IT SHOULD BE POSSIBLE FOR YOU TO REGISTER WITH DR I JEET & DR A CHAUDHRY WHO ARE WITHIN THE SAME HEALTH CENTRE, IF YOU ARE WITHIN THE PRACTICE AREA.  YOU CAN STILL COMPLETE THE PRE-REGISTRATION FORM, BUT WILL NEED TO PRINT IT OFF AND TAKE IT TO THE HEALTH CENTRE. WHEN REGISTERING, YOU WILL NEED 2 FORMS OF IDENTIFICATION. One should carry your photo (i.e. Passport, Identification Card, Licence) and one should carry your current home address which is within the Practice area.  Thank you.

 

PreRegistrationIf 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

 
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