New Patients

Please register online (recommended) OR fill in a paper registration form at the reception. If you live outside of our catchment area (see map), please email chartfield.admin@nhs.net to ask whether we would accept a registration from you first.

 

Registering a child under the age of 6:

Please fill in this form in addition to the online form below.

 

Summary Care Record:

If you would like to opt-out of the summary care record please fill in this form. For more information please click here.

 

Temporary patients:

Please pick up a temporary paper registration form from reception, please do not register using our online form. 

 

Accessible Information Standard

The Accessible Information Standard aims to make sure that disabled people have access to information that they can understand and any communication support they might need. Examples of changes we can make are: provide letters, records and information in large print or electronic copies; provide results by telephone or email; arrange appointments by text or phone. If you have any communication needs that we can help you with, please contact the practice so we can record and tailor your communication needs. For more information on the Accessible Information Standard, please see this leaflet.

Please fill in all of the sections on the form. Registrations are completed within 5 working days.

It is very important to fill in the section for previous address and your previous GP. If you do not have a previous GP, please make sure you enter the date of entry into the UK.