New Patient Registration

Thank you for looking at joining our Practice

We are happy to accept all Coventry residents.
You have two options to register with us

  1. Please submit the form below or
  2. Click here to register – this is an external link that will redirect you to the central NHS website for the same process. 
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All questions marked with a * are mandatory

Patient's Details
Title: *

Help Us To Help You 

Providing a NHS Number means that we can find a patient record more accurately, saving time and resources.

If you are from abroad, you do not need an NHS number to register with us. 

How to find your NHS Number 

Are you a resident in a Care Home?:
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Do you require homely remedies?:
Next of Kin details
Previous Details
Are you registering for the first time in the UK? : *
Have you recently moved to the UK?: *
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
Please include postcode
Are you returning from abroad?: *
Texts and Email Notifications

Privacy Consent

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Once we have received the registration form, we will seek to complete the registration process within 2 working days. Failure to complete any sections of the registration form your registration may be delays in completing your registration.