Adult Registration for PRINTING

How to Register

1. Ensure you have at least 1 month of your Medication. It can sometimes take up to 4 weeks for your medical notes to be transferred to us making it difficult for us to issue you repeat medication. If possible, please ensure you have at least a month’s worth of medication from your previous practice before registering with us.

2. Check that you live within our practice boundary. We will not register people living outside this area unless you have been allocated to us by the Healthboard.

3. Identification. Look out two forms of identification. 

The first must contain a photograph (e.g. passport, driving licence or ID card)

The second must contain your current address (e.g. utility bill showing your name, rent book, council tax notification or TV License)

These can be uploaded in the registration form below or brought into the practice to be checked

4. Complete the Registration form below. You should then be registered within 48 hours.

Registration (Adult) – PRINTABLE

PERSONAL DETAILS

Will you be in the area for more that 3 months? (If not, please complete a temporary resident form)
Have you ever been a patient at this practice in the past?
Sex at Birth
Please include any flat, floor and block number or name in your address details.
EH29 and EH52. Limited addresses within EH30 and EH28 as per our boundary
If you don’t have a mobile number, please state ‘none’. However, we cannot register you without a mobile or landline number
Does the mobile number belong to the patient?
Please state your name and relationship to the patient
Found on your birth certificate.
Found on your birth certificate.
Are you a Carer? (full or part-time)

HELP US TO TRACE YOUR PREVIOUS GP HEALTH RECORDS BY PROVIDING THE FOLLOWING INFORMATION

Have you ever been registered with a GP practice in the UK?
If yes, in which country were you registered? (so we can contact that healthboard))
Have you arrived to the UK from abroad?
Have you served in the British Armed Forces?
Are you a reservist?
Please include postcode
Is this your first registration with a GP since leaving the armed forces?

Medical History

Allergies to Medication – Do you have any?

Medical conditions – please list below

Any history of the following conditions in a first degree relative (mother, father or sibling)

Prescribed Medication

Do you take any regular prescription medication?
Preferred Pharmacy (to collect your prescriptions)
Smoking
Alcohol

HOW THE NHS USES YOUR INFORMATION

The information you have provided will be used by NHS Scotland to carry out its various functions and services including scheduling appointments,
ordering tests, hospital referrals and sending correspondence. Read more using the link below.

“How the NHS handles your personal health information”

PATIENT DECLARATION

I declare that the information I have given on this form is correct and complete. I understand that, if it is not, appropriate action may be taken. To enable
NHS National Services Scotland to confirm my eligibility to lawfully register with a GP and for the purposes of prevention, detection, and investigation of crime, the minimum necessary information from this form could be disclosed to relevant authorities.

I understand that more comprehensive information about how NHS Scotland handles my data is available from NHS Inform.

This information can be provided in other languages and formats on request. The NHS Inform helpline provides an interpreting service.

Are you the patient or a representative of the patient?
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our privacy policy to discover how we protect and manage your submitted data.
Consent