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Application to Register Permanently With The Practice

PreRegistrationIf you wish to apply to register at Cos Lane please:-

1/ fill in and print the application to register permanently form (available below)

2/ fill in and print the medical questionnaire for new patients (available below)

3/ sign both forms and bring them into the surgery, along with a suitable form of identification (listed in section 6 of the application form) and proof of address. 


Application to register permanently

New Patient Questionnaire

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