New Patients

Welcome and thank you for considering becoming a patient at Summervale Surgery!

If you would like more information about the surgery please browse our website or for more specific queries you are welcome to call our Reception Team on 01460 52354.

If you would like to register to become a patient at Summervale Surgery you can print and complete the appropriate form using the links below.  Please return completed forms to our Reception desk.

Alternatively, printed forms can be picked up from Reception for you to complete.

You must complete one form per person.

Please note that, at present, the registration process can not be completed on-line.

New Patient Registration Form – Adult  (age 18 and over)

New Patient Registration Form – Child (under 18 years of age)

We can only accept patients who reside within our practice area.  The map is shown below for you to check.

Practice Map