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  • Registration Form

    Please fill in the short form below. 

  • Patient details

  • Gender mismatch, please verify your title and gender

  • Getting to know you better

  • You may already have a NHS number, even if you are new to the country. Please use the look up below to find it. 

  • Your NHS number is a 10 digit number, like 485 777 3456. 

    If you do not remeber your NHS number, use this service to find your NHS number

    If you cannot get your NHS number online you can: 

    • find it on any letter from the NHS like a prescription or appointment letter
    • call your GP surgery and ask them for your number

  • Please ensure ALL fields are filled INCLUDING YOUR POST CODE.

  • More about you

  •  - -Pick a Date
  •  - -Pick a Date

  • If you would like to quit, please click on this link:

    https://stopsmokinglondon.com/

    or

    call Stop Smoking London on 0300 123 1044.

  • Next of Kin and Vaccinations details

  •  - -
    Pick a Date
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  • Being ordinarily resident means you normally live in the UK apart from temporary or occasional absences.


    If you are not ordinarily resident in the UK, you may be charged for NHS services. However you will still be able to use GP services. More information here. 

  • I confirm that if I live outside of the catchment area, I will not be obliged to a home visit by the GP

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