Forms needed to register with the practice

PreRegistrationIf you wish to complete the forms before you attend, 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 - GMS1 Application form to register with GP Practice

You will also be required to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records.  Please select one of the appropriate forms below and once completed email to clccg.fitzroviamedicalcentre@nhs.net. Incomplete forms will cause delays in your registration, please ensure you have filled out all sections before submitting.

Patient ADULT health questionnaire

Patient UNDER 16 health questionnaire

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.

Registration form - GMS1

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