Join the practice

We are currently accepting new patients.

 

How to Register

To register with our practice please download and complete the forms below and return to the surgery  with one form of proof of address and one form of photographic identification (ID).

Acceptable Identification: Photo card driving licence, Passport, or EU ID card.

Acceptable proof of address: Tenancy Agreement or Utility bills, i.e. Gas, Water or Electric.

Please note for children under 16 we do require their immunisation history.

Until you have submitted your ID you will not be registered at the practice.

 

Registration Forms

If you would like apply to register as an  in area patient or an out of area patient, please download the appropriate registration pack below.

*****PLEASE NOTE THESE FORMS ARE NOT FOR PATIENTS CURRENTLY REGISTERED WITH US. IF YOU ARE A CURRENT PATIENT AND WOULD LIKE TO STAY WITH US AS AN OUT OF AREA PATIENT DUE TO YOUR NEW ADDRESS, PLEASE COLLECT THE FORMS FROM RECEPTION.

Once completed, can you please return the registration form to reception between 2-5 pm, Monday-Friday, with a proof of identification such as your passport or full UK driving licence and a proof of your address such as a utility bill, bank statement, tenancy agreement or council tax letter. Please not that if you are providing a bill as a proof of address, they need to be dated within the last 3 months.

Read our practice leaflet

 

Live within boundary area?

To be eligible to register at the practice, you must live within the practice catchment area.

If you are not living in our catchment area, you may be eligible to register as an Out of Area patient, please see below.

 

Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide below.

A Patient Guide to GP Services

 

Out Of Catchment Area Registrations

Holland Park Surgery is now in a position to be able to register new patients who live outside our practice boundary.

This means new patients can register with this GP practice if it’s more convenient for you, for example if we are the practice near your work, your children’s schools, or if you have moved out of our catchment area but wish to stay on as one of our patients.

If you are a current patient but have now moved out of area, you can fill in the out of area registration form and request to stay as a patient with us. These forms are available at reception.

Out of area registrations will not be eligible for home visits because of the greater distance to your home.

Each out of area registration form will be individually reviewed by the partners to decide whether it is clinically appropriate to proceed with the registration. There are clinical conditions or care needs which mean registration without the ability to do home visits would compromise clinical care, and your needs would be better met through registration with a practice near to where you live.

If you are registered as an out of area registration and are not well enough to go to the practice yourself, then other arrangements will be made via NHS England. This is accessed via the 111 service, and ensures that there is access to a service either near your home or at home (if needed).

Update your address 

If you are currently registered with us and have moved address please complete the form below. If you have moved out of area and still wish to stay registered with us, you will still need to complete the form and we will get back to you within 2 weeks. Please note that the decision to keep you on as an out of area patient is entirely upto the partners and is dependendant on your medical needs. 

Change of Adress Form

 

Temporary Registration

If you are currently staying within our practice area for up to 30 days and do not have a doctor in the area but need urgent medical care you can register at the practice as a temporary resident. If you need medication urgently please bring your regular repeat prescription order form from your normal surgery to us and we will issue you with a short supply to tide you over until you get home.

 

Overseas Visitors

For Guidance on overseas visitors please please visit GOV.UK for further information.

 

Non English Speakers

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.

Open the leaflets in one of the following languages: