Register someone else - GP Reading - Westwood Road Surgery

What is the name of the person you are registering?

Title

Please select their title

First name

Please enter their first name

Middle name(s)Optional

Last name

Please enter their last name

They have recently changed their last name

What is your relation to the person you are registering?

For example, parent.

Relation

Please enter your relation to the person

OK

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How can we contact the applicant?

Email address

Please enter a valid email address

Phone numberWe recommend using their mobile number.

Please enter a valid phone number

We'll use these details to update them on the status of your application.

OK

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What is the applicant's address?

Search for your address...

Please select an address

Enter address manually I don't have a UK address

OK

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What is the applicant's sex as recorded on their NHS record?

Female

Intersex

Male

Not specified or known

Please select one

OK

press Enter ↵

OK

press Enter ↵

What is the applicant's date of birth?

For example, 15 3 1984.

Day

Month

Year

Please enter a valid date of birth as DD MM YYYY

OK

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Has the applicant registered with a GP before?

Yes

No

Please select one

OK

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Has the applicant recently moved from abroad?

Yes

No

Please select one

OK

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Are they on any repeat medications?

Yes

No

Prefer not to say

Please select one

OK

press Enter ↵

Finally, please confirm the applicant's details are correct

Personal details

Email address		Edit
Phone number		Edit
Gender		Edit
Ethnicity	,	Edit
Date of birth	–– / –– / ––––	Edit

I understand that by registering, I am switching the applicant's NHS GP practice to Westwood Road Surgery.

I agree to the use of my contact details by Westwood Road Surgery to send texts or emails about research and other health services.

I would like important information from my GP record to be available to other health and care professionals and give permission to share a Summary Care Record. Learn more

What is the name of the person you are registering?

What are your details?

What is your relation to the person you are registering?

How can we contact the applicant?

What is the applicant's address?

What is the applicant's sex as recorded on their NHS record?

What is the applicant's ethnic group?

What is the applicant's date of birth?

Parent or guardian details

Has the applicant registered with a GP before?

Has the applicant's home address changed since they were last registered?

What was their previous postcode?

Has the applicant ever been registered with an Armed Forces GP?

Has the applicant recently moved from abroad?

Where was the applicant born?

Enter details of where the applicant was born

When did the applicant enter the UK?

Has the applicant moved to the UK from the EU, EEA or Switzerland?

Does the applicant have any of these documents?

European health insurance card details

Does the applicant need an interpreter for their appointments?

What is the applicant's preferred language?

Has the applicant ever lived at a previous UK address?

What was the applicant's previous UK address?

Are they on any repeat medications?

Do they have an emergency contact?

What are the details of their emergency contact?

Finally, please confirm the applicant's details are correct

Personal details

Please note

You are eligible to register

The applicant is eligible to register