Option 1 Register in person at Surgery:
Step 1: If you live within our practice catchment area, please come along to the surgery and fill out a GMS1 form. You can download and print the GMS1 form here.
Step 2: Complete the ‘New Patient Questionnaire’ which can be collected or filled in at the surgery.
Step 2: Please bring the completed forms to the surgery with photo ID.
NB: As of Monday 03/12/2018 all completed registration forms will only be collected from 2.30pm.
Option 2 Email Your Registration:
Please click on the relevant link below for either an adult or a child registration form.
- Adult registration please download the Adult Registration Form.pdf here. Please ensure you include copies of your valid passport /driving licence photo ID and a utility bill / financial statement dated within the last 3 months.
- Child registration please download the Child Registration Form.pdf here. Please ensure to include your child's passport or birth certifcate and immunisation history which can be found in the 'red book'.
- New born babies can be registered with just their NHS number however, once the birth certificate is received this will need to be presented to the surgery.
Step 2: Email all the documents required along with the registration forms in a PDF format to firstname.lastname@example.org.
Please note all registration forms must be fully completed. Any incomplete forms or missing information will delay the registration process.
Our Catchment Area
To be eligible to register with us as a patient you need to be living within our Coventry catchment area.
Our catchment area covers a wide area of the City and we are very flexible if you appear to fall just outside our boundary but still find our practice convenient to register with. However, we will not register new patients living outside of Coventry.
- City Centre
- Cannon Park
You will be registered with “The Practice” which means that you can see any of our doctors or other health practitioners. However you can state a preference of a “usual” doctor. You may attend either of our two practices - Harnall Lane & Green Lane Medical Centres.