Adult New Patient Registration

PLEASE NOTE THAT DURING THIS PERIOD OF THE PANDEMIC YOU DO NOT HAVE TO SHOW YOUR ID PAPERWORK IF YOU HAD A PREVIOUS NHS DOCTOR. HOWEVER IF YOU ARE NEW TO THE NHS PLEASE EMAIL YOUR ID AND THE PROOF OF ADDRESS TO PALACE.SURGERY@NHS.NET

Acceptable identification includes:

  • Passport
  • Birth Certificate
  • HC2 Certificate
  • Rough sleepers’ identity badge
  • Hostel Registration / mail forwarding letter.

Acceptable proof of address includes:

  • Tenancy agreement
  • Mortgage agreement
  • Bank statement
  • Driving licence

For the Donor registration please remember you must register for this yourself. If you fill this on the form it is for our information only. If you want to make sure its on the database you can do this by clicking on the link below. It only takes 2 minutes.

https://www.organdonation.nhs.uk/register-your-decision/register-your-details/

  • Patient Details
  • Health Information
  • Further Information
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Patient's Details

I declare to the best of my belief this information is correct. An audit trail is available at the practice for inspection by the HA’s authorised officers and auditors appointed by the Audit Commission.
Please use this date format: DD/MM/YYYY.

Ethnicity

Next of Kin & Other Relatives

Please include name, relationship & DOB.

Carers

Wheelchair/hearing aid/braille/lip reading etc.

Medical Records

Please help us trace your previous medical records by providing as much of the following information as possible.

If you are returning from the armed forces

Please use this date format: DD/MM/YYYY.

If you are from abroad

Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.