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Online 'Pre-Registration' With The Practice

PreRegistrationIf you wish to pre-register click on the link below to open the form, but please rember that completing this form DOES NOT guarantee or even imply that you will be accepted onto the practice register. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Pre-registration Form 

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.

Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

Pre-Registration Form (PDF)

Please note if you are already registered with another doctor in Blandford please contact our surgery (01258 453171) to discuss before completing the Pre-registration Form

Additional Information Requirements

When you visit the surgery to complete the registration you will also be asked to complete an Additional New Patient Information form so that other relevant information can be recorded onto your computer patient record held at the surgery. Alternatively you can click on the link below and complete the form online and then print it and bring it with you on your first visit to the practice.

 New patient registration Questionnaire (Online completion)

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