Those wishing to register must live within the practice area (see Roads within our Practice Area below) if it is not listed call the surgery for advise. Those wishing to register can download the registration forms by following the links below (All MUST be completed).Alternatively you may obtain all of the necessary forms from reception. In either case the completed Registration Enquiry, Alcohol consumption questionnaire,GMS1 form, NHS number mandatory along with proof of identity and (proof of address within last 3months) must be returned in person to reception.The registered GP will be your named GP who will have overall responsibility for the care and support that our surgery provides. If you have any questions then please call us on 0208 743 1511
Patients are normally accepted onto the list within 14 days after returning their completed forms.
An appointment with the Nurse, HCA or Doctor may then be given.
Patients who are removed from our practice list for eg. register with a new GP Practice Health Authority reason or did not attend appointment x3 will be electronically removed from our practice list. Please note ALL future appointments and alerts will automatically cancel due to the transfer.
Important Notes for Patients Wishing to Register
Roads within our practice area
GMS1 Registration Form
Sharing your medical information
Registration agreement for visitors and students
Please answer the questions in the short questionnaire to enable us to assess your alcohol consumption rate and offer advice if necessary.
Alcohol Consumption Questionnaire
The Practice area has been notified to the Hammersmith & Fulham PCT as being half a mile from the surgery by road when travelling by car but on the east side as far only as the Metropolitan Line Railway, and in the north as far as Westway.We do not accept patients living on the White City Estate.
A list of some of the roads from which patients are accepted is included with the registration documents.
View the Practice Catchment Area