Register Online

To register with us online, please complete the registration form below AND the questionnaire by clicking this link.

The questionnaire will need to be sent back to us at [email protected] Thank you.

Register (GSM1)
Title:
Sex:
Address
Address
Postcode
City
Country

Please help us trace your previous medical records by providing the following information:

Your previous address in the UK
Your previous address in the UK
Postcode
City
Country
Address of previous doctor
Address of previous doctor
Postcode
City
Country

If you are from abroad:

Your first address where registered with a GP
Your first address where registered with a GP
Postcode
City
Country

If you are from the Armed Forces:

Address before enlisting
Address before enlisting
Postcode
City
Country

If registering a child under 5:

If you need your doctor to dispense medicines and appliances * :

* Not all doctors are authorised to dispense medicines.

NHS Organ Donor registration:

I would like to join the NHS Organ Donor Register as someone whose organs may be used for transplantation after my death.

Please tick as appropriate:
Or only my:

NHS Blood Donor registration

Emergency Contact

Address:
Address:
Postcode
City
Country