If you wish to register with the Practice, please call in at Reception desk and pick up a registration pack or print forms below and bring these with you to the surgery to register. These forms need to be fully completed and returned to Reception. Please note that you are not able to sign this form online and we request for you to print, complete, sign and date the form and return to the Reception desk. Please also ensure that the New Patient Medical History form is completed and please note to tick the consent section to enable us to contact you for appointment reminders and healthcare matters via text message. You will need to complete one form for each person requesting to register. You will need to bring proof of your address with you to register as you must live in the Practice area to be eligible.
COVID-19 - DURING THESE DIFFICULT TIMES WE HAVE RELAXED THE ABOVE PROCESS. IN THE INTERIM PERIOD PLEASE PRINT, COMPLETE, SIGN AND DATE THE DOCUMENTS AND RETURN TO THE PRACTICE VIA OUR EMAIL AT email@example.com
New Patient Registration Form
Medical History Form - Adult
Medical History Form - Child
Summary Care Record Information
For patients who are not ordinarily resident in the UK
If you are not ordinarily resident in the UK you may have to pay for NHS treatment outside of the GP practice. Being ordinarily resident broadly means living lawfully in the UK on a properly settled basis for the time being. In most cases, nationals of countries outside the European Economic Area must also have the status of "indefinite leave to remain" in the UK.
Some services such as diagnostic test of suspected infectious diseases and any treatment of those diseases are free of charge to all people, while some groups who are not ordinarily resident here are exempt from all treatment charges.
More information on ordinary residence, exemptions and paying for NHS services can be found in the Visitor and Migrant patient leaflet.
You may be asked to provide proof of entitlement in order to receive free NHS treatment, otherwise you may be charged for your treatment.
Although you will be registered with the practice as a whole, our Doctors prefer you to have an allocated named GP in order to get to know you better and to aid continuity. You will be informed of your allocated named GP when registering with the surgery. If you have a particular preference though, please let the Receptionist know when you register. You will be able to request a routine appointment with your allocated named GP but will not necessarily be able to see them at short notice and may be offered an appointment with another GP if your request is deemed more urgent.
Once your registration is complete NHS England (Essex team) will be notified and they will arrange for your medical records to be sent to us from your old surgery. Please note that this can sometimes take several weeks.
If you currently take any repeat medications, please arrange to obtain a month's supply of this medication from your previous surgery to ensure that the registration process with The Pump House Surgery is completed. You will need to make an appointment with a GP before your repeat medications are issued at this practice.
We look forward to welcoming you to our Practice.