Register with us as a New Patient

Dr Gaw & Esler > Managing Your Health > Register with us as a New Patient

When you attend the Practice to register you will be asked to complete a GP registration form, and new patient questionnaire form. These must be completed before you are seen. If you are unwell you will be given an appointment to see the doctor, otherwise you will be given an appointment to see the Practice Nurse for a new patient medical.

Once you have been accepted as a patient, your medical records will be requested from your last practice if you were registered with an NHS practice previously.

Download and submit the forms

Due to COVID-19 and limiting the footfall in the practice, please download and complete both our online Registration Form and New Patient Questionnaire. When you have completed both forms please upload them using the form below.

For your information we have included a link to our Practice Leaflet and a guide to our services.

We will contact you if we require further information.

New Patient Registration Form

New Patient Questionnaire

Practice Leaflet

Patient Guide to GP Services

Upload your completed forms

File upload

First Name *

Last Name *

Email *

Enter Email

Confirm Email *

Confirm Email

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Telephone number for us to contact you *

Upload completed New Patient Registration and New Patient Questionnaire Form *

Maximum upload size: 2MB

Please upload your files to the practice here. We only accept New Patient Forms – ALL OTHER FILES WILL BE DELETED!

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

The internet is not a secure place, however, we have gone to great steps in making sure the information you submit to us is as secure as possible. We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our web server. If you are not completely happy to provide information via the internet please contact the practice directly.

I consent to the practice collecting and storing my data from this form.

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Registration Policy