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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).

Click here to download Our Policy for Registering New Patients

The downloadable new GMS1 (purple form) is a legal document and it must be completed in full. Please read the GMS 1 Leaflet leaflet before completing
The New Patient Health Check Questionnaire must be completed and brought into the surgery along with the GMS1 form. If you have any communication difficulties or communication preferences please include.

Application for Patient Online Access to medical record - please read the following leaflet before completing:

Online Patient Records Access Leaflet

Data Sharing Opt Out Form

Broad Lane Surgery Privacy Information Leaflet

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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71 Broad Lane , Hampton, Middlesex, TW12 3AX
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Your Neighbourhood Professionals. Just a Click Away!
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