Register with our practice

Please complete the Patient Registration Form and new patient questionnaire for all adults and children and opt out form if you wish to opt out.

We might ask for ID or proof of address.  But if you don’t have any and you live in our practice area, you can still register with us.

If you do have ID/proof of address, please attach it to your registration. Thank you. 

We have an open list and welcome requests for registration from patients living in our practice area.  New patients must live within our practice boundary to be able to register with us.  We will check your eligibility when you come in to register.

Please use the practice Boundary Tool to check yourself if you are unsure.

Patient Registration Form and New Patient Questionnaire to complete online

Patient Registration Form GMS1 Form to print out

New Patient Questionnaire to print out

New Patient Questionnaire for visually impaired patients to print out

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

Practice Leaflet

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

Please click here for our Physical Accessibility Statement

Catchment Area (Practice Boundary)

You can search for your postcode by clicking the magnifier in the top right corner of the map, this will indicate whether you live within the boundary or not.

Named GP

Practice Charter

At the Glebe Surgery, we strongly believe in personal lists and continuity of care. At registration, patients are placed with a specified GP, and would continue to see that doctor whenever possible.

Named GP

What does ‘accountable’ mean?
The named accountable GP takes responsibility for the co-ordination of all medical services and ensures they are delivered to each of their patients where required.
This new arrangement has been introduced to reassure patients that they have one GP within the practice who is responsible for ensuring that work is carried out on their behalf.

The named GP will not take 24-hour responsibility for the patient or have to change their working hours.

Can patients choose their own named GP?
Patients have been allocated a named GP by the practice. However, if a patient requests a particular GP, reasonable efforts will be made to accommodate their preference.

If you would like to know who your named accountable GP is, or you have a preference as to which GP you are allocated please contact the Surgery for more information

Patient’s rights and responsibilities

As a patient you have the right to: (a) be registered with a named doctor (b) change doctor if desired (but please remember that you may have to see any of the doctors if your need is urgent) (c) receive emergency care (d) receive appropriate drugs and medicines (e) be referred for specialist or second opinion if you and the GP agrees (f) see your medical records or a copy, subject to certain laws (g) know that by law, everyone working for the NHS must keep the contents of your medical records private. With these rights come responsibilities for the public. That means being: (a) courteous to staff at all times (b) as prompt as possible for all appointments (c) responsible for cancelling appointments in adequate time.

Glebe Charter

Accessing someone else's information

If you wish to request proxy access to health records for your child or someone that you care for, please use the relevant form below:

What proxy access is explained

Proxy Access for Children under 11 years old

Proxy Access for Children over 11 years old

Proxy Access for Adults