New Patients

Register as a New Patient

Unfortunately we are NOT currently taking on new patients unless you are an immediate famly member of an exisiting patient.

If you wish to register download the form below and email a completed form to

You will be asked to complete a Registration Questionnaire and provide some identification:

  • Photo ID (passport or drivers license)
  • Proof of address (e.g. current utility bill, bank statement, pension statement - within the last 3 months)

If it will be difficult to produce these documents, please talk to us about other ways of establishing your identity.

Copies of the registration questionnaire are available from reception or download it in advance of your visit, click on the relevant form below.

Adult Registration Form

Child Registration Form

New Born Child Registration Form

Practice Area

We accept new patients from many parts of Crawley and Charlwood, please see the map opposite for details.

Boundary Map V2

Temporary Patient Registrations

If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient.

You can be registered as a temporary patient for up to three months. This will allow you to be on the practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with the practice.

To register as a temporary patient simply contact the practice. The practice does not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

Non-English Speakers

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.

Open the leaflets in one of the following languages:

england English Iran Farsi Urdu Urdu
albania Albanian Bengali Bengali india Hindi
egypt Arabic Croatian Croatian lithuania Lithuanian
bulgaria Bulgarian Punjabi Punjabi poland Polish
china Chinese (Cantonese) Somali Somali portugal Portuguese
china Chinese (Mandarin) Gujerati Gujerati spain Spanish
russia Russian Turkish Turkish French French

Disabled Patient Facilities

Disabled patient facilities are also available at this practice.

(Car park space, ramp, toilet etc).

If you do not have access to the internet and need to register with a new practice please contact West Sussex CCG on 07425 616194 for details of practices that are currently accepting new patients or follow the link below to apply online.