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Registration Forms

NEW PATIENTS

Patients of all ages are welcome to join our practice and can do so by bringing their medical card to reception. Our Practice Nurse, as part of our program of health promotion, will offer new patients an appointment for a health check.

The practice does not discriminate on the grounds of race, gender, social class, religion, sexual orientation, appearance, disability or medical condition.  


In order to obtain a medical card you need to fill in an application form, which is called HS22X. This form is available in English and in a range of other languages. Please click on the respective links below to download the form in English and/or in translation.

UK
English


Click here for an application form for a medical card

portugal
Portuguese

poland
Polish

latvia
Latvian

czech_republic
Czech

lithuania
Lithuanian

russia
Russian

slovakia
Slovak

pakistan
Urdu

ireland
Irish

Cliceáil anseo i gcomhair foirme iarratais

india
Hindi

china
Chinese

bulgaria
Bulgarian

Click here for an application form for a medical card

romania
Romanian

Click here for an application form for a medical card

 

Content courtesy of the Central Services Agency, N.Ireland



 
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