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Family Doctor Services Registration Form
files, New registration

The GMS1 Form required to register as a new patient. Print off and complete. This form cannot be filled online.

New Patient Registration Questionnaire
Questionnaire

If you are a new patient, please complete this form.

Temporary Resident
Form
Image

If you are visiting the area and require our services, please complete this form.

Health Review Questionnaire
files, New registration

This form is a Questionnaire for Health Reviews at the Surgery.

KMP Consent
Form
Questionnaire

This form is required to consent for your information to be shared with relatives or a carer.

Change of Details
files, New registration

If you change your name, phone number or address, please complete this form and bring it to the surgery.

Kingswinford Medical Practice

The Health Centre
Standhills Road
Kingswinford
West Midlands
DY6 8DN

Tel: 01384 271 241
Fax: 01384 297 530


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We are not responsible for the content of external websites.

Hello! Get in touch!

Jason Sheldon

Photographer & Web Developer
MOBILE
07973 618503 (UK)