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New Patient Registration

We are pleased to register patients from Tiptree, Kelvedon, Feering, Messing, Inworth, Great Totham North, Little Totham, Salcott, Virley, Tolleshunt Knights, Tolleshunt D'arcy, Great Braxted.

We are not accepting patients from Birch, Little Braxted, Layer Marney, Wickham Bishops, Great Wigborough and Great Totham South

To register with the practice please print off, complete these forms and bring into the surgery with identification:

Photographic id eg Passport, Driving Licence

Proof of address - this needs to be a valid document with your current name and address on eg: bank statement or utility bill. 

Unfortunately we are unable to accept Driving Licences as proof of address. 

Children under 18 years old please provide a birth certificate.

                                                       

New patient registration form over 18 years

New patient registration form under 18 years

 

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