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'Pre-Registration' With The Practice

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.You will also need to bring current proof of address, e.g a utility bill, bank statement, tenancy agreement, dated within the last 2 months.

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.


Alternatively you may print off a registration form, fill it out and email it to us along with your current proof of address (e.g a utility bill, bank statement, tenancy agreement, dated within the last 2 months).

Shoreditch Park Surgery Registration Form

Please note we can only register patients within our catchment area (See Image below). 

Catchment Area

https://www.google.co.uk/maps/place/Shoreditch+Park+Surgery/@51.5334125,-0.086997,15z/data=!4m2!3m1!1s0x0:0x900d0487c72000aa?sa=X&ved=0ahUKEwir9qO7xuvWAhWCI1AKHZUtDWAQ_BIIejAN

 
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