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.
Once you have filled out the online registration you will need to attend the practice with the appropriate paperwork so a member of reception can process your application, you may be asked to fill out additional forms.
Pre-registration Form
When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.
Click here and fill out health questionnaire please note this needs to be fill out and emailed back to eversley.medical@nhs.net
Adult Health Questionnaire
Children Health Questionnaire
Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.
Registration Form