Temporary Residents Registration

If you would like to register with the practice as a temporary resident, please use this form.

Temporary Patients Form

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Patient's Details

Please specify:

NHS Number:

First Name: *

Surname: *

Previous Surnames:

Home Address: *

Postcode: *

Telephone Number:

Do you have a temporary address? *

Yes

Temporary Address: *

Temporary Postcode:

Telephone Number:

Doctor's Details

All details of treatment will be sent to this doctor and address.

Doctor's First Name:

Doctor's Last Name:

Address of Doctor:

Postcode:

Telephone Number:

Important -

Due to the news that the NHS Norfolk and Waveney Prescription Ordering Direct POD service is closing from 12th April 2024 however the phone lines will remain open until June 2024 h... Find out more

Important -

Please note that the surgery procedure for issuing prescriptions is 3 working days so please allow time for the staff and GP’s to be able to organise your medication before headi... Find out more

Important -

Due to the news that the NHS Norfolk and Waveney Prescription Ordering Direct POD service is closing from 12th April 2024, we will be taking over responsibility for your repeat pre... Find out more

Important -

As of 18th September 2023, all our same day urgent face to face appointments will be provided at our Kirkley Mill surgery for our Rosedale patients, all routine care (non-same day)... Find out more

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Temporary Residents Registration

Temporary Patients Form

Patient's Details

Doctor's Details

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