Patient Registration

The practice area is defined as anywhere within a 8 mile radius of Loughbrickland inclusive of Poyntzpass. The practice list is open and application for inclusion on the list of patients shall be made by delivering to the practice premises a completed application signed in either cases by the applicant, or person authorized by the applicant to sign on his/her behalf and the supporting documents.

New Patient Registration 

If you have previously registered with and attended a NHS GP Surgery in England, Scotland, Wales or Northern Ireland within the past year or have returned from the armed forces please download the following form.

HS200-V3 

Please note photographic ID and proof of address (bank statement or utility bill)  is required with the registration form.

If you have not registered with or attended an NHS GP Surgery within the UK in the past year please download the following form. 

HSC-R1 

All forms must be fully completed and appropriate documentation produced when returning the form to the Surgery.

Please Note - Non EU Nationals must produce their Visa.  

As it may be sometime before we receive your previous medical notes it is important that each new patient completes a Health Questionnaire.

This should be returned with your registration form.

If you require any further information or assistance please contact the Surgery on 028 40662692. 

Leaving the practice area.

Unfortunately we are unable to provide a service outside our area.  If you move outside the Practice area you will receive a letter requesting that you register with a Practice closer to your home.  You will have 6 weeks from the date of the letter to register with another Practice after which the Practice will contact Business Services Organisation in Belfast to remove you from the Practice list.

Clinical services will be provided to patients who are not on the practice list if they are staying temporarily in the area or require emergency or immediately necessary treatment, unless the patient refuses consent.

 


If you come from outside the United Kingdom to obtain a medical card you need to fill in an application form, which is called HS22X. This form is available in English and in a range of other languages. Please click on the respective links below to download the form in English and/or in translation. 

UK
English


Click here for an application form for a medical card

portugal
Portuguese

poland
Polish

latvia
Latvian

czech_republic
Czech

lithuania
Lithuanian

russia
Russian

slovakia
Slovak

pakistan
Urdu

ireland
Irish

Cliceáil anseo i gcomhair foirme iarratais

india
Hindi

china
Chinese

bulgaria
Bulgarian

Click here for an application form for a medical card

romania
Romanian

Click here for an application form for a medical card

 

Content courtesy of the Central Services Agency, N.Ireland



 
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