New Patient Registration

To register as a new patient you will need to live within our practice boundary.

Unfortunately in order to maintain levels of service to our listed patients, we have capped our list. This means that with the exception of First-Degree Relatives (Parent-Child etc.) living at the same address as a current patient, we will be temporarily disallowing all new patient registrations. This is to enable the maximising of care of our current patients at a time of a national GP shortage.

In order to register as a new patient in Crawley, please call the GP Allocations phone number 0300 140 9855 or email sxccg.gpallocations@nhs.net.

You can find more advice here: www.westsussexccg.nhs.uk/help-for-patients-if-a-gp-practice-has-suspended-new-registrations

NHS England Practice Allocation

If NHS England have allocated you to Saxonbrook Medical, please complete the below registration form.

We ask you to upload the following documents with your registration form:

• Your Allocation Letter
• Your NHS number, found on most medical letters or from your current GP
• A recent proof of address, such as a council tax statement or utility bill
• A form of photographic ID

Although it will make your registration process smoother, we will not stop you from registering with us if you do not have any of these.

If you prefer you can attend the surgery with your registration form and supporting documents and hand into a member of the team at reception.

• Download a New Patient Registration form

Please see our practice Patient information leaflet (PDF)

New Patient Registration

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Patient's Details

Title *

Mr

Mrs

Miss

Ms

Other

Please specify:

Surname: *

Previous Surnames:

First Name(s) *

Date of Birth: *

Please use this date format: DD/MM/YYYY.

Sex: *

Male

Female

Indeterminate

NHS Number:

Home Address: *

Postcode: *

Town and Country of birth: *

Please help us trace your previous medical records by providing the following information

Previous address in UK:

Please include postcode.

Name and address of previous GP:

If you are from abroad

Registering for the first time in the UK

Date you came to live in the UK:

Please use this date format: DD/MM/YYYY.

If you are returning from abroad

Previously been a resident in the UK

Date you left the UK:

Please use this date format: DD/MM/YYYY.

Date you returned to the UK:

Please use this date format: DD/MM/YYYY.

Were you ever registered with an Armed Forces GP

Please indicate if you have served in the UK Armed Forces and/or been registered with a Ministry of Defence GP in the UK or overseas:

Regular

Reservist

Veteran

Family Member (Spouse, Civil Partner, Service Child)

Address before enlisting:

Service or Personnel number:

Enlistment date:

Discharge date (if applicable):