New Patient Registration

If you would like to register with the practice please use this form.

To register a new patient you will need to live within our practice catchment area. The practice is happy to accept patients from all parts of Renfrew, covering the PA4 postal code. Our practice area covers all parts of Renfrew and Inchinnan.

If you change your address or telephone number please inform the practice. If you move out with the area covered by the practice you will have to register with a doctor in the area in which you are living.

In accordance with Greater Glasgow and Clyde recommendations, all new patients should present two forms of identification which proves residency and authenticates their identity. This is required to reduce and prevent fraudulent attempts to obtain or misuse NHS care. Overseas visitors may be asked for additional information to prove NHS entitlement.

One form of identity must ideally be photographic such as:

  • Passport
  • Drivers license
  • Official ID card from public services body
  • Student matriculation card

Other documents for proof of residency that are acceptable are:

  • Recent utility bill within last 3 months
  • Council tax document
  • Television license
  • Payslips within last two months
  • Rent book/agreement, form a public body or private landlord
  • Bank statement, name and address section only required
  • Solicitors letter, clearly showing name and address

If unable to provide photographic evidence then you must present one of the above and one of the following:

  • Birth Certificate
  • Marriage Certificate
  • Divorce / Annulment Papers.

You will be offered the opportunity to have a new patient health check. This allows us to gather any relevant information we may require before your medical record is received from your former GP.

If you prefer a particular type of doctor, such as a female for female patients and vice versa, we will do our best to accommodate this. However, not all doctors in the practice provide all services and specific doctors may not be immediately available.

If you change your address or telephone number please inform the practice. If you move out with the area covered by the practice you will have to register with a doctor in the area in which you are living.

Patients visiting from another area in the UK for a period of less than 3 months, and who become unwell, are entitled to be seen as a temporary resident. You will be able to make an appointment in the same way as one of our normally registered patients.

If you only require a supply of your regular medication and you are normally resident in Scotland, it may be possible to obtain this from a local pharmacy under the “unscheduled care” scheme. This will avoid any delay whilst waiting for a GP appointment. If you are ordinarily resident in England, Wales or Northern Ireland, it still may be possible for a pharmacist to liaise directly with your usual GP in order to arrange medication.

New Patient Registration

Patient's Details

Is this your first registration with a GP Practice in the UK? *
Will you be in the area for more than 3 months? *
Title *
Please use this date format: DD/MM/YYYY.
Sex *
Any responses we send will go to this email address.
Can we contact you by text?
Can we contact you by email?

If you have served in the British Armed Forces

Are you reservist?
Is this your first registration with a GP since leaving the Armed Forces?

Ethnicity

Please specify the ethnic group you consider you belong to:
Do you speak English?
Do you read English?

Emergency Contact

Are they your next of kin?
Do you give us permission to discuss your medical records with them?

Allergies

Do you have any allergies?

Previous Details

Please include postcode.

If you are from abroad

Registering with the NHS for the first time in the UK
Please use this date format: DD/MM/YYYY.

If you are returning from abroad

Previously been registered with the NHS in the UK
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.

European Economic Area (EEA) Country

For a list of EEA countries visit: www.gov.uk/eu-eea
Do you live in another EEA country, or have moved to the UK to study or retire, or live in the UK but work in another EEA member state?
Do you have a non-UK European Health Insurance Card (EHIC) or a Provisional Replacement Certificate (PRC) ?

If you are visiting from another EEA country and do not hold a current EHIC (or Provisional Replacement Certificate (PRC))/S1, you may be billed for the cost of any treatment received outside of the GP practice, including at a hospital.

EHIC/PRC

Please enter the details from your EHIC or PRC below.

S1 Form

Do you have an S1 Form?
Please give your S1 form to the practice staff.

How will your EHIC/PRC/S1 data be used?

By using your EHIC or PRC for NHS treatment costs your EHIC or PRC data and GP appointment data will be shared with NHS secondary care (hospitals) and NHS Digital solely for the purposes of cost recovery. Your clinical data will not be shared in the cost recovery process.

Your EHIC, PRC or S1 information will be shared with The Department for Work and Pensions for the purpose of recovering your NHS costs from your home country.

Carers

Do you have a carer?
Are you a carer for someone?
Do you give us permission to discuss your medical record with your carer?