Child new patient registration (under 16)

Use this service to register a child under 16 years old with the surgery.

You can use this service if you:

• want to register a child under 16 years old at the surgery
• live within our catchment area

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of
• your NHS number
• details of previous GP surgery
• basic health and medical information

Start now

You can also phone us on Main Site Abbey Lane 01142740017 or Branch Site Baslow Road 01142365090.