We have an open list and welcome requests for registration from patients living in or moving to the practice area.
You can register by bringing along your NHS medical card or completing a form available from reception. Use the forms below during Covid-19 pandemic.
We will ask you to complete a Health Registration form which will help the doctor to understand your medical history and potential health needs.
We recommend that new patients undertake a health check with our practice nurse.
Registration forms & questionnaire
For Adults
Please ensure you fill in the health questionnaire and the GMS1 registration form – you will also need to provide photo Id and a proof of address
For Photo ID – passport or driver’s license
For proof of address – Utility bill
For Children (under 16)
Please fill in the Under 16’s registration form
You are also able to request access to an online account if you are aged 18+ please fill in the Patient Access registration form and we will send a link, please ensure you have sent photo ID for this service
Please send your registration forms, proof of ID and Patient access forms to: SWLCCG.theroehamptonsurgery@nhs.net
GMS1 family doctor services registration form
New patient questionnaire (Adult)
GMS3 for Temporary Registration
These forms are also available to collect from the surgery.