Online 'Pre-Registration' With The Practice
Due to a need to re-align forms used for registration, our pre-registration form will be temporarily disabled, until we can ensure that it will provide the necessary information for registering with the Broadmead Medical Centre. In the mean time, the below Medical Questionnaire and the printable registration form will still be made available to you.
When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.
Online Medical Questionnaire For New Patients
Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.
Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.