Selston Surgery

Selston Surgery

139 Nottingham Road, Selston, Nottingham, NG16 6BT

Current time is 08:54 - We're open

NHS

Telephone: 01773 810226

Out of Hours: 111

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.

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

PLEASE NOTE: THESE FORMS DO NOT MEAN YOU ARE AUTOMATICALLY REGISTERED AT THE PRACTICE. YOU WILL NEED TO COME TO RECEPTION TO COLLECT A NEW PATIENT REGISTRATION PACK IN ORDER TO COMPLETE THE REGISTRATION.

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 hand it in to us at reception.

Registration Form