JF0060bb - Student Registration updated 2024/25

Registration Form

Please fill in the short form below by yourself.
Some information about you,
Full Name*
Date of Birth*

DayMonthYear
Gender*
NHS No. (If Known)
Mobile Number (UK mobile) *
E-mail*
about your arrival to university...
Select Your University*
Enter university name*
Enter your year of study*
What year are your studies expected to finish?*
How did you hear about us?*

Word of Mouth (friends)Internet Search e.g. GoogleWalk in ClinicUniversity EventUniversity WebsiteHalls of residenceOther
If you have been refer by a friend, please enter their full name below. Refer 2 friends and get a coffee voucher! ☕🔥 Refer 10 friends for a £25 Nando's voucher! 🍗🔥 Start sharing now!
Once you complete this form, you will be taken to an NHS Registration Page. Please make sure to complete this, as without it we cannot process your registration. It should take up to 10-15 minutes.
I confirm that
- If I live outside of the catchment area, I will not be obliged to a home visit by the GP.
- My key health information will be shared with other health professionals in case of an Urgent or Emergency situation.
- I am happy for you to communicate with me via telephone, SMS text and/or email (THIS IS NOT FOR MARKETING PURPOSES).
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Registration Form