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Registration – Important information

In order to register with Broad Lane Surgery please make sure you complete all of the documentation provided below and bring it along to the surgery with proof of identification and address (see below the list of ID we accept).

Please Note - We will not be able to accept your registration without having ID provided.

Click here to download Our Policy for Registering New Patients


The New Patient Questionnaire must be completed see below options and brought into the surgery along with the GMS1 form. If you have any communication difficulties or communication preferences please include.

This form to be completed for every patient The downloadable new GMS1 (purple form) is a legal document and it must be completed in full. Please read the GMS1 Leaflet (PDF, 353KB) before completing


Option 1 - Adult New Patient Questionnaire  (Complete for each adult)

Option 2 -Child New Patient Questionnaire (Complete for each child)

0ption 3 -Baby New Patient Questionnaire (Complete for each baby)

Sharing Your Data Opt -out/Consent Form (To be completed for every Patient)

Patient Responsibilities (To be completed all adult patients)

Privacy Information

Online Patient Records Access Leaflet


Other Registration Documents 

Online Appointments & Prescription Application

Online Medical Records Application

Register As A Carer

Prescription Procedures

Opt Out form NHS Digital

Click here for our Registration Policy

IDENTIFICATION: (one item of photo ID needs to be seen)
Entry clearance document (stamped)
UK photocard driving licence
Current residence permit (stamped)
Benefit/pension book (not card)
HMRC document
ID card for foreign nationals

Housing contracts
Utility bills
Bank statements
Residence permit
Letter from IND/BIA (with stamp)
HMRC document
Work permit
Official insurance documents
(The lists are not exhaustive)

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