New Patient Registration

Please ask at reception if you would like to check whether you live within the catchment area. In deciding whether or not to accept a patient, the practice will not discriminate on grounds of disability or medical condition, age, appearance, race, gender, social class, religion or sexual orientation. If an application is refused the applicant will be given the reason for refusal in writing.

How to Register

You can either register online using the forms below or come into the practice.

To help aid us in the registration process when attending we ask that, if you can, you bring with you or send via email:

One photographic ID (passport, driving licence etc.) and one proof of residency, this can be any of the following: bank statement, utility bill (gas, electricity or water) council tax bill or land line telephone bills. These must be dated within the last three months.

Bringing proof of address and ID with you to register will help us match up your medical records and will make for a smoother registration process.

If you have NHS number please provide this so we can easily locate your record. If you do not know your NHS number click here to find it 

You will also need to complete one of the following:

For anyone Over 5 years of age:

Please click the link below and complete the registration form. Please also send if you have it proof of ID and address to nelondonicb.leytonhealthcarepatients@nhs.net. 

If you are registering a child please make sure to include a parent or carer in the Next of Kin section.

Once we have received your registration form we will contact you to inform you of the progress of your registration or if we require any further information.

1. New Patient Registration form 

Or for anyone under 5 years of age (except newborn babies):

Please complete the two forms below, with your child's details and either hand them into the practice or send via email to nelondonicb.leytonhealthcarepatients@nhs.net along with a photo of the child's red book or immunisation details.

1. New Patient Health Check Form for 0-5 year olds

2. GMS1 Form

Or for Newborn babies (first GP registration and was born in the UK):

Please complete the two forms below, with your baby's details and either hand them into the practice or send via email to nelondonicb.leytonhealthcarepatients@nhs.net along with a photo of your baby's red book with the NHS number visible.

1. New Born Registration Form

2. GMS1 Form

Please note: we are open till late Monday – Friday until 18:00 for patients that cannot attend during the day to register. Late appointments are also available for new patient health check appointments.

All forms are also available at reception or can be downloaded via the links on this page.

Please note that in some circumstances other documents may be required. Further information can be provided by our reception staff.

Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide below.

A Patient Guide to GP Services