Upload documents

In order to complete the new patient registration process we require you to complete the relevant new patient questionnaire and provide evidence of your identity and address. You can deliver the documentation to the practice or upload via the online form below.

File upload for ID checks

First Name *

Last Name *

Email *

Enter Email

Confirm Email *

Confirm Email

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Phone number for us to contact you *

File Upload *

Maximum upload size: 5MB

Please upload your files to the practice here. We accept tiff, jpg, png, gif, txt, Word and pdf files, up to a total upload size of 5MB.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

The internet is not a secure place, however, we have gone to great steps in making sure the information you submit to us is as secure as possible. We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our web server. If you are not completely happy to provide information via the internet please contact the practice directly.

I consent to the practice collecting and storing my data from this form.

reCAPTCHA

Privacy Policy

Health A-Z

Live Well

Medicines Guide

Care & Support

Lifeboat Quay Medical Centre

Contact Us

Subscribe to Practice News