Registration Forms

Please complete the following documents and return them to Village Surgery in person with two forms of identification.

The forms of identification required can be found at the lower section of Page 4 of these forms however we generally request some Photographic ID such as a Passport or Driving License along with some Proof of your current address such as a Bank Statement or Utility Bill.

Once we have received your completed registration forms we aim to get patients registered within 1 week.

***Due to the COVID-19 Pandemic we are currently accepting registrations sent via email to [email protected] ***

***Please ensure that your photo identification is sent alongside your registration forms.***

IF YOU ARE ASKED TO ATTEND VILLAGE SURGERY PLEASE ENSURE THAT YOU ARE WEARING A FACE MASK.