Online 'Pre-Registration' With The Practice
If you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.
UNDER 16's HEALTH QUESTIONNAIRE
When you register you will also be asked to fill out a medical questionnaire.
Please complete the Pre- Registration Form, click submit and also complete the relevant Questionnaire and email to the registration team at Parkfield the email address is: email@example.com.
*Please note both forms are necessary to complete your registration*
Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.
Alternatively you may print off a registration form, fill it out and bring it in to the practice.