New Patient Registration

keyboard_stethoscopeTo register with the practice you must reside within the practice area. Registration will only be completed once the Practice has received your forms and emailed you to confirm.

All new patients will be requested to complete a lifestyle questionnaire when applying to join the practice and we like all new patients to have a health check with a member of our clinical team within one month of applying. We cannot fully register you with the practice until this has been carried out. If you have a complex health issue you may need to see a Doctor.

You can, of course, see a Doctor if you have an urgent problem in the meantime.

Practice Area

Latchford, Wilderspool Causeway, Stockton Heath, Appleton, Appleton Thorn, Grappenhall, Grappenhall Heyes, Lower Stretton, Hatton, Higher Walton, Lower Walton, Moore, Daresbury, Thelwall 

Pre-registration with the practice

PreRegistrationIf you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. You will still need to attend surgery to complete the process.  Please ensure that you fill all the form in, we will need the following:

  • Full name, including previous names
  • Date and place of birth
  • Last address
  • New address and post code
  • Last name and address of your previous Doctor
  • NHS number - it is not the same as your National Insurance number, you can find this on your prescription request slip.

Registration Forms

Please note: If the document isn't displaying correctly, the browser may need updating.

Adult Registration Form

Child Registration Form

Please send completed forms to cmicb-war.stocktonheathmc@nhs.net


Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

CALLING ALL VETERANS

We are trying to identify patients who are military veterans.  Did you serve for at least one day as either a Regular or Reservist in the British Armed Forces? Then please inform the practice either speak to our receptionist or email cnicb-war.stocktonheathmc@nhs.net

https://www.nhs.uk/using-the-nhs/military-healthcare/priority-nhs-treatment-for-veterans/

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website