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New Patient Registration

Our practice area covers St. George, Speedwell, Kingswood, Soundwell, Hanham, Crew’s Hole and parts of Fishponds, Mangotsfield, Redfield and Whitehall.

To register as a patient with Fireclay Health, you must live within our practice boundary - enter your postcode in our map tool below to check your eligibility.  Smartphone users are recommended to use this link to open map tool in a new window.  You can move map in any direction and zoom in/out as required.

We require both a Registration form and a Medical Questionnaire to be completed in order to register you.  There are two options for completion:

1) Simply click on the links below to complete each form, clicking the 'send' button each time to send the form to us. 

Note that by sending forms you will be transmitting information about yourself across the Internet - although every effort is made to keep this information secure, no guarantee of confidentiality can be offered.

a) GMS1 Registration Form AND

b) New Patient Medical Questionnaire

2) Alternatively you may print off both registration forms via the links below, to complete and bring with you on your first visit to the practice.

a) GMS1 Registration Form  (2 page pdf)  AND

b) either ADULT (16+) Medical Questionnaire (2 page pdf) or CHILD (0-15) Medical Questionnaire  (1 page pdf)

On receipt the Admin team will process your registration and you will be able to make an appointment in two working days.  

Please register new babies with us as soon as possible after birth - complete either the online or print versions of the registration form and Child questionnaire (including first language child will be brought up with)

Organ & Blood Donation

Although the back of the GMS1 form includes options to register to be an organ and/or blood donor, this can no longer be acted on locally. We ask that you register yourself if interested, with NHS Blood and Transplant - telephone 0300 123 23 23 or register online:

www.organdonation.nhs.uk/

To register for organ donation, amend registration, refuse to donate or withdraw consent

www.blood.co.uk/

New blood donors must be aged between 17- 65. Registering online also gives you the ability to book and cancel appointments online, and view your recent donation history.


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