Patient Registration

Patient Registration Section

Please click here to see if you live within our catchment area to register at our surgery

When submitting forms online/returning forms

Please complete Patient registration form and new patient questionnaire for all adults and children and opt out form if you wish to opt out and please attach ID/proof of address to go with patient registration form.

Patient Registration Form GMS1 Form to print out

Patient Registration Form to complete online

New Patient Questionnaire to print out

New Patient Questionnaire to complete online

How to activate opt out for type 1 National data Opt Out or Summary Care Record Information

Practice Leaflet

Online Access for Appointments and Medication

Repeat Prescriptions

The Glebe Surgery is not a dispensing Practice.

How to get a repeat prescription

We have a large demand for prescriptions.

Please allow 4-5 clear working days for your request to be processed.

You can order a repeat prescription by:

• Completing the slip which came with your last prescription and which you can either drop the request to your surgery or the pharmacy you use
• How to get started on NHS App Information
• Completing a medication request form (attached below) either post back to us or put in the post box outside the surgery
• Please click here for Medication Request Form

Telephone requests are not accepted.

Change of Name/Address Form

Change of Name and Address form

Permission to Disclose Data to third party

Permission to discuss healthcare with a third party

Carer’s Registration Form

Carer’s registration form

Patient access to medical records online

If you are a new patient and wish to have online access for this service you will need to come to reception at the surgery for online access to be activated and will need to complete the above form as well.

Adult Online Access Form

NHS App for online access

Accessible Information- Communication Needs

If you or your family member have a disability, impairment or sensory loss please advise the practice of the nature of the impairment, and how we can assist your needs or the family members needs when they come into the practice.

Please complete form below and return to the surgery

Please click here for Accessible Information communication needs