Online Pre-Registration

If you wish to register at Medlock Vale Medical Practice please complete the online registration form below – 

In order for us to ensure that the questions are answered correctly and ensure you have completed all the questions. Missing information or incorrect information slows down the registration process as our staff will need to contact you to gain the correct details. 

To help us register you quickly, please ensure that BOTH the Registration Form and New Patient Questionnaire is completed. You can either print the forms and fill them, complete the online forms further down the page or pop into the surgery and collect the forms. 

Registration form

New Patient Questionnaire

We require photo ID and proof of address for all new patients – once we have received your completed registration forms we will ask you to call into the surgery with your documents to complete your registration.

Online Registration Forms –

**Please ensure BOTH forms are completed – we will be unable to register you without BOTH completed forms**

Registration Form 

New Patient Questionnaire