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Register with Us

Register with us

Check that you live within our practice catchment area.

We prefer to register whole families as it assists better medical care.

If you are currently homeless , or of no fixed abode, or cannot supply any identification for any reason, we can register you at the surgery address, so please don't be afraid to tell our staff.

Registration Process:


Registration a a bit bureaucratic but we've tried to simplify it: you fill in the official registration form (GMS-1) and our combined Registration Form. Once you've done this we would like to meet you for a New Registration Health Check and if you are on long term medication or require monitoring for a long term condition you will need an appointment with a doctor to plan your care.

  1. ADULTS will need to complete a GMS-1 registration form and then email it to the practice (if you prefer to download for manual completion, one is available here and a large print version for printing). Then:
  2. Also complete the combined Registration Forms below and submit from the button - includes a) Health Questionnaire, b) Consent for receiving SMS Text Messages, c) Application for Online Services and d) Electronic Prescription Service). Here is an easy-read version. (which you can email to us at patient.willowtreefamilydoctors@nhs.net).
  3. For Online Access you will also need to demonstrate photo ID - this is a security requirement and you can email it or do it when we see you later (Citizen ID will save this requirement in future).

  1. CHILDREN UNDER 16yrs will need to complete a GMS-1 registration form and then email it to the practice (if you prefer to download for manual completion, one is available here and a large print version for printing). Then:
  2. Also complete the Children and Young People Registration Forms below including the Health Questionnaire.
  3. CHILDREN UNDER 5yrs: In addition we need a copy of the Birth Certificate and immunisations record (copy of Red Book pages). If you cannot produce this information we shall register your child as a temporary resident until you provide it.
  4. Children from abroad: we are required to have proof of address. You need to provide the immunisation record.

You will be offered a New Registration Health Check appointment with one of our nurses (or doctor if you take repeat prescriptions or have complex medical needs for everyone over the age of 5yrs. This enables us to record important details, to assess your health needs and start planning your medical care at Willow Tree Family Doctors.
When you attend for this health check, please bring a urine sample (collect a urine sample bottle from reception) and the immunisation records (Red Book) of your children and any medication you are taking. If you have not already done so you will be invited to complete the forms above.

Registration Forms: ADULTS
Registration Forms: CHILDREN & YOUNG PEOPLE UNDER 16YRS

Willow Tree Family Doctors Registration Form - ADULTS

Please add your surname
Please add your first name
You must enter your date of birth
Please add something
Next of Kin details
Tell us about YOUR Medical conditions
Medicines
Employment
Naughty habits
5.00
Medical conditions IN YOUR FAMILY
Women only
You must select a choice from the dropdown
You must select a vaue from the dropdown
You must select a choice from the dropdown
This field must contain Alpha Numeric characters
Thank you! Your forms were sent :-)×
Opps! Some went wrong... Your submission did not go through :-(×

If you scored 5 or more on the Audit-C above, it would be helpful for you to complete this more detailed Audit-10 questionnaire to see if you are drinking safely or need to cut down. Send it to us and we can discuss with you whether any tests or advice are needed.

Audit-10 Alcohol Questionnaire

This field must contain Alpha Numeric characters
You must enter your date of birth
Thank you! Your form was successfully sent :-)×
Opps! Some went wrong... Your submission did not go through :-(×
Toggle for the Audit-10
Please add your surname
Please add your first name
You must enter your date of birth
Please add something
Next of Kin details
Tell us about YOUR Medical conditions
Medicines
Naughty habits
5.00
Medical conditions IN YOUR FAMILY
You must select a choice from the dropdown
You must select a vaue from the dropdown
You must select a choice from the dropdown
This field must contain Alpha Numeric characters
Thank you! Your forms were sent :-)×
Opps! Some went wrong... Your submission did not go through :-(×

Treatment for Visitors

If you have visitors who need urgent treatment we may be able to see them as "temporary residents". Please ask at reception. If they are visiting from abroad, certain countries have reciprocal health agreements but visitors from other countries may have to pay for our services. You can check eligibility here.


Information sharing Opt-Ins and Opt-Outs

SUMMARY CARE RECORD
The Summary Care Record is automatically created and contains some basic information including regular medication and allergies and adverse medication reactions. You can OPT OUT of sharing your Summary Care Record with other health professionals (however this is very useful eg. if you are incapacitated after an accident)
You can EXPRESS CONSENT FOR ADDITIONAL INFORMATION to be added, such as signifiant illnesses, vaccinations, personal care preferences and next of kin.
Click here more information and Opt In/ Out form to email to the practice.

OPTING OUT OF SHARING YOUR PERSONAL HEALTH INFORMATION
Essential personal health information is shared between healthcare professionals when giving you personal medical care. It is potentially dangerous to treat you without background information and this is why it is automatic. There are strict rules around this sharing (see our Medical Records page) and you will be asked if you are happy to share at the point of care.
However, you can OPT OUT of sharing your personal health data for research and planning ('secondary use') by completing this NHS web-form .

Organ donation Opt-out

Organ donation is now automatic. If you do NOT wish to donate any organs or tissue after death, you will need to OPT-OUT. You can fill this NHS form to opt out

Disclaimer This website is to inform our patients of our services and provide general educational material concerning health. Any information, opinions, data or images are provided in good faith for the interest and benefit of our patients and not for any commercial gain. We are not offering professional advice concerning the particulars of any individual's health and cannot be responsible for the accuracy of the information presented or the content and reliability of information on linked external sites and request that you make your own judgements and use the information at your own risk. We cannot always keep all the information up to date, though we try our best. If you have any concerns about any of the content on this site, broken links etc please contact us.

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