surgery 2New Patient Registration

It is necessary for all new patients wanting to register with the practice to download the initial registration form following the link below, as well as completing the Questionnaire. PLEASE NOTE: all forms must be handed to a member of the team along with two forms of identification (passport or driving license & a utility bill with name and new address).

Registrations during the COVID-19 Pandemic:

To help you stay at home and protect yourself, the NHS and the Surgery staff we will be accepting registration forms via email. Please ensure you complete all sections of the registration form and the new patient questionnaire. This can then be emailed to the surgery email: .

If you have a printed version of the form we will accept an image of this from your mobile device but we must be able to see all sections of the registration form and the questionnaire to enable us to register you. 

Thank you.

Registration Forms

Registration form

New Patient Questionnaire

Please download and complete BOTH of the above forms and return them to the surgery with your Identification as stated below.

Please note: We request TWO forms of identification alongside your completed registration forms. These are to include:

  • Passport or Driving Licence (Photo ID)
  • Utility bill or bank statement (proof of address)

Catchment Area

Click here to see if you live within our catchment area.

If in doubt please call NHS England on 0300 311 22 333 or Click here to visit NHS Choices for more information about GP Registration You can also email them on 

Allocated Named GP

From April 2015 all patients, including children, must be allocated a named accountable GP, who will have overall responsibility for the care and support that a surgery provides to them.

For all patients at Broom Leys Surgery your named GP is Dr Scrivens. This does not mean that you will only see your named GP, your care will still be provided by the most appropriate member of the clinical team here at Broom Leys Surgery. Having a 'named GP' does not prevent or restrict you from seeing any other doctor or nurse in the practice as you currently do. Continue to book your appointments with the practice in the same way that you do now.

Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide below.

pdf A Patient Guide to GP Services

Organ Donor OPT out

You can register a decision NOT to donate online here. Use this form to record a decision to OPT out of Organ and Tissue Donation

Find your NHS number

A new service is now live to help find your NHS number. This service is for anyone living in England who has forgotten or does not know their NHS number. You can also use this service on behalf of someone else where the name, date of birth and registered home postcode is known. You can opt for the number to be sent to you by text, email or letter. Click here to use this service

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website