This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Downloadable information/forms

This section offers patients downloadable information leaflets and forms that you may have been asked to complete and return to reception.

Thank you

Registration/health form for adults and young people over 16

Registration/health form for children and young people under 16

(these forms are also available to download in the New Patients section of the website)

Application to join the Patient Group

Physical Activity Questionnaire

Information about how the NHS may use and share your personal and clinical details

For most patients, there are currently 3 ways in which the NHS can extract personal and clinical information from your clinical records. We have provided some leaflets to download below, and will update this information as more becomes available

You can download opt-out forms for these services below. Copies of the opt-out form are also available from reception.


1. Summary care

NHS Summary Care leaflet

Opt-out form for the summary care record



How works

NHS information leaflet about

Opt-out form for    

MedConfidential information about data sharing


2. Whole systems integrated care record (WSIC)

WSIC website to access up to date information

Summary sheet about WSIC

Frequently asked questions about WSIC 

Opt-out form for WSIC



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