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Forms to Download & Complete at Home

man completing form

Please find below our forms for you to download, print and complete at home for your convenience prior to your first visit to the surgery.

All three forms need to be completed for all new patients and require to be updated periodically for returning patients.

Under the current circumstances with restrictions in place due to Covid-19 we thought it would be particularly helpful if patients are able to complete some of the paperwork and formalities in the comfort of their own home. This will also help to reduce the time you need to spend in the reception area of the surgery and further help minimise any risks to either you or our team.

(Please note these forms have very specific content and as such need to be printed without editing and completed by hand)


New Patient Registration Form

Medical History Form

Data Protection Consent Form

193 Lymington Road Highcliffe Christchurch Dorset BH23 5EA
Telephone: (Freephone) 0808 1783524 or 01425 270247

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