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Evesham Medical Centre     Abbey Lane     Evesham    WR11 4BS     Tel: 01386 761111

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2011 Patient Survey
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* New Patients

We are pleased to welcome new patients to the Practice list. In order to register, please enquire at Reception where you will be given a purple and white registration form and a New Patient Questionnaire to complete. Alternatively, these forms can be downloaded by clicking on the links below:

Registration form (GMS1)

New Patient Questionnaire

When completed, these forms should be returned to our Reception team.
We will also need to see proof of your identity.
You will be asked to provide the following:

  • ONE type of photo identity, such as your passport or driving licence
  • TWO types of proof of your address, such as a recent utility bill (gas, electricity, water or phone bill, but not a mobile phone bill) or council tax bill, rental contract or recent bank statement.

You will then be asked to make an appointment to see a member of our Practice Nursing team for a new patient check.

Temporary Residents

You are entitled under NHS regulations to see a doctor anywhere in the United Kingdom if you are away from home and need medical help. We are happy to see anyone who is staying in our catchment area on a temporary basis. You will be asked to complete a Temporary Resident form before seeing the doctor or nurse.

 

Patient Information leaflet: How we use your Personal Information

 

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The forms on this page are available for download in Adobe PDF format for easy viewing/printing.

You will need Adobe Reader to open these forms. This is free and you can get it by clicking on the button below:


 
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