Online Registration With The Practice
If you wish to register, complete both of the TWO forms below, the GMS1 and the New Patient Questionnaire. Submit both forms by email to firstname.lastname@example.org , by fax 01480 862893, by taking the forms into reception, or by post to Great Staughton Surgery, 57 The Highway, Great Staughton, Cambs, PE19 5DA.
When you visit the surgery for the first time, if you have not already done so, you will be asked to sign the form to confirm that the details are correct.
When registering, please fill out a New Patient Questionnaire below. Medical records take some time to arrive and this will help provide a medical background.
Note: 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.
Please note, the Registration Form will be changing on 2 October 2017, therefore if you are completing a form before this time, please collect a GMS1 form from the Surgery reception. An online version will be available from 2 October 2017 onwards.
New Patient Questionnaire