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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.

To register as a new patient, you have two options:

Simply click on both links below to complete both forms, clicking the 'send' button each time to send the form to us.  On receipt the Admin team will process the form and you will be able to make an appointment in two working days.  We require both a Pre-Registration form and a Medical Questionnaire to be completed for registration purposes. 

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) Pre-registration Form (GMS1 form)

b) New Patient Medical Questionnaire

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.

Registration Form   pdf

either ADULT (16+) Medical Questionnaire  pdf

or CHILD (0-15) Medical Questionnaire  pdf

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