Temporary Resident Registration

If you have an NHS Account (that you use to log into the NHS app with) please register at Register with a GP surgery: St. Stephens Gate Medical Practice.

If you would like to register with the practice as a temporary resident, please use this form.

Temporary Residents Registration

If you are human, leave this field blank.

Please specify:

NHS Number:

First Name: *

Surname: *

Previous Surnames:

Home Address: *

Postcode: *

Telephone Number:

Please provide a brief summary as to why you are registering as a temporary patient: *

Do you have a temporary address? *

Yes

Temporary Address: *

Temporary Postcode:

Telephone Number:

All details of treatment will be sent to this doctor and address.

Doctor's First Name:

Doctor's Last Name:

Address of Doctor:

Postcode:

Telephone Number:

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