The Roehampton Surgery

020 8788 1188

Ashburton Medical Practice

020 8785 6440

How to register

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)

Under 16’s Registration Form

Patient online access

GMS3 for Temporary Registration

OPT OUT Information leaflet

These forms are also available to collect from the surgery.