Thank you for choosing to register with Handsworth Wood Medical Centre.

Please note that the registration page is time limited. Should you fail to complete the form or miss off vital registration information, we will contact you.

Before proceeding with the registration, we need to know the following:

Please note that our registration page is powered by EMIS and is outside the control of The Vitality Partnership.

Your data is encrypted so that it remains safe at all times.

I am a UK resident

I am from outside the UK

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St James

Laurie Pike

Handsworth Wood

Enki Medical

Grove Lane

Smethwick Medical

Vitality Villa Road

Hillcrest Surgery

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GP Patient survey results - Dec 2013

How Do I.… Register With The Practice?

All patients applying to register with the practice must provide evidence of entitlement to NHS treatment.

Where a prospective patient is entitled to receive NHS care, a registration form must be completed.

You can download a GMS1 form                             OR you can complete online  HERE.

You will be asked to complete a short health questionnaire when you apply online or arrive at the surgery.

You are required to book a registration medical appointment either by telephoning the practice you are registered to or by attending the practice. On the day of your registration medical you will need to bring an early morning urine sample.

If you wish to be registered at a Vitality practice please provide the following :-

• Complete and sign the purple GMS1 application form

• Complete the medical questionnaire and the patient profile

• If female provide a copy of your latest cervical smear test

• If registering a child, we will need a copy of the vaccinations page of the child’s Red Book at your first visit.

• Copies of a UK passport or photo driving licence or valid NHS medical card

Additionally, if you are NOT a British citizen you must provide :-

• A copy of your valid national passport and evidence of your right to remain in the UK

• Proof that you have been in the UK for 6 months or over (utility bill addressed to you and older than 6 months) or that you have the right to remain.

• Proof of address (e.g. letter from Home Office addressed to you)

• Proof of full time work or full time education

If you are an ASYLUM SEEKER you must provide :-

• An HC2 form

• Your identity card provided by the Home Office

When you have completed ALL of the above please make an appointment for a Registration Medical. If you bring the originals of the above documents we will make the photocopies.

If any of the above has not been done you will NOT be allowed to register and any treatment can only be given as a private paying patient. If you CANNOT SPEAK ENGLISH please bring someone with you who can TRANSLATE.

Download HERE
Family Doctor Registration Form GMS1 Patient Details Date of Birth Please help us to trace your previous medical records by providing the following information If you are from abroad If you are returning from the Armed Forces If you are registering a child under 5 years of age Signature

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