Selston Surgery

Selston Surgery

139 Nottingham Road, Selston, Nottingham, NG16 6BT

Current time is 17:00 - We're open

NHS

Telephone: 01773 810226

Out of Hours: 111

Latest News (click title to open):

Help Your Mate Campaign

Face Mask Exemptions

SCAMS

Registering Online

If you wish to pre-register click on both links below to open both forms. When you have completed all of the details, click on the “Send” button to mail both your forms to us. When you visit the surgery for the first time you will be asked to sign the forms to confirm that the details are correct.

PLEASE ENSURE THAT BOTH FORMS ARE COMPLETED BEFORE SUBMITTING THE FORMS BELOW (LINK TO THE RELEVANT FORMS ARE IN BLUE BELOW).

Pre-registration Form

Online Medical Questionnaire For New Patients

The reason for the medical questionnaire is because it can take a considerable time for us to receive your medical records. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

ALSO, YOU WILL NEED TO BRING INTO RECEPTION,  PROOF OF ADDRESS AND PHOTOGRAPHIC IDENTIFICATION.

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.

Registration Form