This form must be completed and brought into St Mary’s Surgery.

When returning this form to the Surgery, please provide photo ID and evidence of your address such as a utility bill or bank statement.

Please be sure to check that your address is within our catchment area.

Please complete the entire form in block capitals letters.

You can download the form below or collect the form from our Surgery Reception.

• Adult Registration Form
• Child Registration Form

Newborn Babies

Please bring your copy of the mother and baby discharge summary to the surgery so your baby can be registered. We would also request that you bring their ‘red book’ to their first appointment. Once the Surgery has received your discharge summary, your baby will be registered with the Surgery.