Temporary patient registration

Use this form if you need to register as a temporary patient.

Before you start

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
  • your NHS number
  • information about your health
  • other personal details and demographics
Start now

You can also phone us on Old Mill Surgery, Poringland 01508 492929 or Millgates Surgery, Hempnall 01508 499333 for more guidance.