57 Eastwood Road, Rayleigh, Essex, SS6 7JF
Telephone: 01268 209309
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See below for various forms. These can either be printed from our website, or alternatively can be collected from the main surgery reception and filled out appropriately. Please ensure the correct form is being completed.
For new patients and registration forms:
Please note both forms will need to be completed for registration, as well as providing two forms of identification. For any forms that are not correctly completed, or not sent with the correct I.D, they will be rejected and you will be asked to collect them from the Surgery.
** Please be aware for any shared mobile numbers either added to patient records as next of kin or main contact details, it is the responsibility of the person who’s number it is to check who the message is intended for. We are unable to add patient identifiable information in SMS messaging. **
Change of details:
Home Blood Pressure Monitoring:
For Active Practice: