New Patient Registrationregister_now

To register as a new patient we need you to complete the two forms below.  Please print off and complete each form and bring into reception.  Before you register at the surgery we will also need to see some photo ID (passport or driving licence) along with a utility bill showing your home address. 

Because the practice is currently closed to walk-in patients you will need to email your completed registration documents to:

esxccg.greenstreetclinicprescriptions@nhs.net

If you have recently moved into the area please check if you live within the practice boundary before completing the registration form. If you do not live within the practice boundary, the practice will not be able to accept your registration application.

Our practice is currently open to patients moving into the Old Town area of Eastbourne.   You will need to live within our practice boundary with one of the following postcodes:  BN20 0, BN20 7, BN20 8, BN20 9, BN21 1, BN21 2

If you are not moving house outside the boundary of your current practice you are advised to remain temporarily registered with your current practice to ensure that you can continue to receive care from a health care professional who has immediate access to your full medical records.

To protect you from identity fraud we also require your NHS number to complete your registration.  If you don't know this please contact your previous GP surgery.  We are unable to register you at Green Street Clinic until these items have been provided.  The new style NHS number has 10 digits which are all numerical.

You may also have heard about the National Programme to create a Summary Care Record (SCR).  This would allow the practice to share some of your details with other healthcare providers like the Out of Hours service and Hospital.  The information we would share is mainly confirmation of where you live and your contact details as well as any allergies you may have.  If you would prefer not to have your information shared it is important that you print off the opt out form below and return it with your registration papers.

Information for New Patients 

Registration Form    

Additional Form for CHILD Registration

New Patient Questionnaire - ADULT 

New Patient Questionnaire - CHILD           

Summary Care Record Opt Out Form

Overseas patients may be treated on a private basis until NHS eligibility has been confirmed.

 
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