New child patient questionnaire

Use this service to register with the surgery.

  • Please complete a form for each member of the family that you wish to register.
  • Please be aware it can take up to 14 working days for a patient to be registered from the date the form is submitted.
  • Please ensure you have at least 1 month’s worth of medication from your previous surgery.
  • Please try and provide birth certificate or red book or NHS number with your registration.

You can use this service if you:

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
  • information about your health
  • other personal details and demographics
Start now

You can also phone us on 0161 789 0011 for more guidance.