The Glebe Surgery

The Glebe, Storrington, West Sussex, RH20 4FR

Current time is 08:58 - We're open

Telephone: 01903 742942

Latest News (click title to open):

Latest COVID-19 Vaccination Clinic’s 27.1.22

Letter to the patients from Dr Newsom

Facemask Information for Patients visiting the surgery

You are here:
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Patient Registration

You are here:
Home
/
Patient Registration

Patient Registration

Patient Registration Section

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

New Patient Registration Questionnaire to print out

Patient Registration Form GMS1 Form to submit online

New Patient Registration Questionnaire to submit online

Opting out of Data Sharing & Summary Care Record Access to print out

Opting out of Data Sharing & Summary Care to submit online

Practice Leaflet downloadable

Online Access for Appointments and Medication
If you already have access to prescriptions on line, in most cases, you should also be able to book/amend an appointment on line. (Slots available 09:00 – 09:10 and 17:50 – 18:00, Tuesday to Friday, with your registered Doctor.

If you find you do not have access to appointments please call in to the surgery and we will either add access, if you already have on line prescriptions, or request that you come in to the surgery to register, and then we can complete the process.

Access to either on line prescriptions or on line appointments is made via www.patient.co.uk or NHS App by clicking the link’s below.

Online Prescription Request and Online Appointment’s for Registered Patients

NHS App

Change of Name/Address Form

Change of Name and Address form

Permission to Disclose Data to third party

Permission to disclose data to third party

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.

Access to medical records for online use form

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

Covid Vaccination Clinics

Updated 27 January 2022

Covid-19 Vaccination Clinics

The clinics below are for all doses of the vaccine and will be Pfizer. They are open to everyone via the National Booking System, by calling 119 or calling the Surgery. Those aged 12-15, or needing a booster after a 3^rd primary dose are currently unable to book with us on the National Booking System and will need to use the NHS app or call the surgery. 3^rd primary doses must have a supporting medical letter.

Free, but limited, parking – please park in the village and walk to the surgery at busy times.

Patients can be registered at ANY practice.

PLEASE NOTE: if you arrive at your appointment and are not eligible, you will not be given a vaccination, and will be asked to rebook.

You will also not be able to have a vaccine if you are aged 18+ and had covid in the last 28 days, or aged 12-17 and had covid in the last 12 weeks.

Please click here for more information about eligibility.

Monday 31 January – 17:00-19:00 *Walk-in Clinic*

Firsts: To be eligible you must be aged 12+.

Seconds: To be eligible you must be aged 12-17 and had your first vaccine on or before 01 November 2021, or aged 18+ and had your first vaccine on or before 06 December 2021.

Boosters: To be eligible you must be aged 18+ (or in a vulnerable category) and have had your second covid vaccination on or before 01 November 2021.

Saturday 05 February – 09:00-13:00 *Pre-booked Appointments Only*

Firsts: To be eligible you must be aged 12+.

Seconds: To be eligible you must be aged 12-17 and had your first vaccine on or before 13 November 2021, or aged 18+ and had your first vaccine on or before 11 December 2021.

Boosters: To be eligible you must be aged 18+ (or in a vulnerable category) and have had your second covid vaccination on or before 06 November 2021.

Saturday 19 February – 09:00-13:00 *Pre-booked Appointments Only*

Firsts: To be eligible you must be aged 12+.

Seconds: To be eligible you must be aged 12-17 and had your first vaccine on or before 27 November 2021, or aged 18+ and had your first vaccine on or before 25 December 2021.

Boosters: To be eligible you must be aged 18+ (or in a vulnerable category) and have had your second covid vaccination on or before 20 November 2021.

Saturday 05 March – 09:00-13:00 *Pre-booked Appointments Only*

Firsts: To be eligible you must be aged 12+.

Seconds: To be eligible you must be aged 12-17 and had your first vaccine on or before 11 December 2021, or aged 18+ and had your first vaccine on or before 08 January 2022.

Boosters: To be eligible you must be aged 18+ (or in a vulnerable category) and have had your second covid vaccination on or before 04 December 2021.

Saturday 19 March – 08:00-18:00 *Pre-booked Appointments Only*

Firsts: To be eligible you must be aged 12+.

Seconds: To be eligible you must be aged 12-17 and had your first vaccine on or before 25 December 2021, or aged 18+ and had your first vaccine on or before 22 January 2022.

Boosters: To be eligible you must be aged 18+ (or in a vulnerable category) and have had your second covid vaccination on or before 18 December 2021.

Please use the National Booking System, NHS app, or call the surgery to book.

https://www.nhsapp.service.nhs.uk/login

Flu Clinics

Patient Survey

Download Practice Leaflet

Order your Prescriptions

Patient Registration

Practice Survey Results

Online Appointment Booking

Surgery Updates

Surgery Staff Vacancies

Practice Documents

Learning Disability Advice

Self Referral Services

Systems Update

COVID Booster Vaccinations

Updated 15th November 2021

Dear Patients,

We are now inviting eligible patients for their Covid-19 booster vaccinations.

Those eligible are:

Those living in residential care homes for older adults
All adults aged 40 years or over
Frontline health and social care workers
All those aged 16-49 with underlying health conditions that put them at higher risk of severe Covid-19 (as set out in the green book), and adult carers.
Adult household contacts (aged 16 or over) of immuno suppressed individuals.

There must be a gap of 182 days from the date of your second vaccination to the date you receive your booster.

The vaccine we are offering is Pfizer-BioNTech. If you are unable to have this vaccine type, you can book a Moderna booster vaccine at a vaccination centre here.

Invitations will come in the form of phone calls and text messages from the staff at the Surgery.

There is currently no recommendation of a third vaccine for anyone not in the above groups, but if this information changes, we will be contacting those affected to offer them an appointment.

Please see JCVI statement regarding the booster programme here

Thank you for your patience and understanding while waiting for your invitation.

The Glebe Surgery

COVID-19 Booster Clinics:

Wednesday 15 December – 08.00-18.00 – to be eligible you must have had your second covid vaccination on or before 16 June 2021.

You can also attend on a Monday evening between 17.00 and 19.00 during our walk-in clinics, please click here for more information.

PLEASE NOTE: if you arrive at your appointment and have NOT had your second covid vaccination 182 days before the booster clinic date, you will not be given a booster vaccination, and will be asked to return on another clinic date when you will be eligible.

Please use the NHS app to book, or call the surgery during the following hours:

Monday 10.00-14.00; Tuesday 10.00-14.00; Wednesday 10.00-11.00, Thursday 10.00-12.00, Friday 10.00-14.00.

https://www.nhsapp.service.nhs.uk/login

NHS App

COVID Vaccinations 12-15 Year

COVID-19 Useful Information For Patients

Opening Times

Monday
08:30 until 18:30
Tuesday
08:30 until 18:30
**21.00 See Appointment Tab **
Wednesday
08:30 until 18:30
**21.00 See Appointment Tab **
Thursday
08:30 until 18:30
Friday
08:30 until 18:30
Saturday
CLOSED
Sunday
CLOSED

Useful Links

	Very easy	Fairly easy	Not very easy	Very difficult	N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously