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Berkeley Place Surgery

11 High Street, Cheltenham, Gloucestershire, GL52 6DA

Downloads

Downloads

We have included copies of useful information in this section for you to download. Please click on the link and the forms will load in a PDF format:

All new patients are required to complete this form:

New Patient Registration – Proforma

And Surgery registration forms:

– Adult Form: https://goo.gl/CKmfGu
– Child Form: https://goo.gl/xfj29i
– New Born Child Form: https://goo.gl/x7rQLH

Vaccination record for children applying to register

If you have no proof of address or identification

Our team will askĀ  for proof of identity when you register, especially when you register children in your care.

This may be used to check your details match with the information held on the NHS central patient registry and that your previous medical notes are passed on to us, but if you do not have any proof of address or ID then you can still register with us.

This also applies if you’re an asylum seeker, refugee, homeless patient or overseas visitor, whether lawfully in the UK or not.

If you fall under one of the above mentioned patient groups, download one of the “How to register with a GP” patient leaflets below and bring it with you when you register with a GP practice.

https://www.nhs.uk/NHSEngland/AboutNHSservices/doctors/Documents/how-to-register-with-a-gp-leaflet.pdf

https://www.nhs.uk/using-the-nhs/nhs-services/gps/how-to-register-with-a-gp-practice/

For more information on how to register with a GP Practice:

https://www.nhs.uk/using-the-nhs/nhs-services/gps/how-to-register-with-a-gp-practice/

Travel Risk Assessment Form

Travel Charges Advice Leaflet

Considering having a PSA test?

Home Blood Pressure Monitoring Exercise form

Vaccination Consent fluenz check list