Patient Registration

We are happy to welcome any new patients. Please click here to see if you are in the practice's catchment area.

If you live within our practice area please ask for a registration form from Reception or complete the electronic form. (Please note if you complete the online form you will need to come in to sign the form and show us some form of ID).

You can either complete the pre-registration form (GMS1) online below or click here to download the form.

All newly registered patients are invited to attend the Surgery within a month of joining for a general health check with our Nurse. This allows your medical history to be summarised whilst awaiting the arrival of your notes from your previous Doctor.

The New Patient Check comprises a blood pressure, height and weight measurement and a urine screen for diabetes.

Please contact reception for further information.

Patient's Details

Title

Surname

First Name

Middle Name

Previous Surnames

Date of BirthDay / Month / Year

NHS Number (if known)If you know your NHS Number, please provide it

Gender

Religion

Marital Status

Ethnicity

Country of Birth

If you are from abroad

Date of Entry to the UK

Main Language

Patient's Address

House Name/Flat Number

House Number and Street Name

Locality

Town

Post Code

Country of Birth

Landline Telephone Number

Mobile Telephone Number

Work Telephone Number

Email Address

If you need your doctor to dispense medicines and appliances

I live more than 1.6km in a straight line from the nearest chemist.

I would have serious difficulty in getting them from a chemist.

Not all doctors are authorised to dispense medicines

Previous Addresses

Country of Birth

Place of Birth

Previous GP or Practice Details

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Cartmel Surgery • Haggs Lane, Cartmel, Grange-over-Sands, Cumbria, LA11 6PH.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

Key Information

Patient Registration

Privacy Protection