Welcome to Horton Bank Top Surgery. You can pre-register online – it’s quick and easy. Just click on the button below to open the form.
Please complete all the details requested, then click on the ‘Submit’ button.
When you visit us for the first time, we’ll ask you to sign a copy of your form to confirm the details are correct.
We also ask you to complete a medical form; this is because it can take a while for us to receive your medical records. Again, when you visit us for the first time, we’ll ask you to sign a copy of this form to confirm the details are accurate.
We really want to know if we can support you to lip read or use a hearing aid or communication tool. If you would like us to help, please fill in the Accessible Information form.
Please Note: By sending the form you will be transmitting information about yourself across the Internet. Although every effort is made to keep this information secure, no guarantee can be offered in this respect.
If you prefer, you can print off the registration form, fill it out and bring it in with you on your first visit to the practice.
Register at the practice
If you live within the practice boundary, you can register at the practice.
If you are unsure, please contact us first to confirm your address is within our boundary.
To register, you’ll need to provide us with the following when you attend:
- Proof of Identity: This must be an approved form of identification which is up to date and contains a recent photograph of you.
- We CAN accept your medical card/passport/driving licence.
- We CANNOT accept student cards/National Insurance number cards.
- Proof of Address: This must be a recent utility bill in your name.
- We CAN accept gas bills, electricity bills, council tax bills, water bills
- We CANNOT accept mobile phone bills, landline phone bills, bank statements, credit card statements, utility bills in the name of a parent or relative who is not registered with the practice.
If you have just moved into the area and do not have the correct proof of address (as outlined above), we can accept a copy of your tenancy agreement or rent book provided that it is in your name and not the name of a relative.
Are you a non-English speaker?
These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.
Special care has been taken to ensure that information is given in clear language, and the content and style have been tested with user groups.
Open the leaflets in one of the following languages :