Patient Registration

Registration with Padiham Medical Centre

If you wish to register as a new patient with Padiham Medical Centre, you should complete a ‘Registration’ form and a ‘Medical Questionnaire’, available from the surgery or for printing using the links below.  Both the registration form and questionnaire are important as it can take a considerable time for us to receive your medical records from your previous GP surgery.

Registration Form

Medical questionnaire for new patients

The forms must both be signed by you to confirm that the details on them are correct.

Once you have completed both forms, you must bring them into the surgery in person, along with 2 forms of identification, for example a passport, driving licence or utility bill.  It is mandatory for all new patients to provide us with two forms of identification.

Please do not post or fax your forms and identification to us – you must bring these to the surgery in person.

When we have received and accepted your completed forms and identification we will register you as a patient on our computer system and you may book appointments / attend clinics as required.