You can collect your forms from reception or print them off below, but you must only attend at your allocated appointment time. These can be given to you at reception or by calling 02890204445.
All forms must be completed and all supporting documentation supplied in order to complete the registartion process.
If you are on any repeat medication you must provide a print out of this from your previous practice.
We have the right to decline your registration if you do not have all the documents needed.
Registration forms are:
1. The yellow HS123 form. This is for registering a new born baby and is provided by the Registrar when the birth is registered. A parent must be registered at the practice.
2. The HS200 form. This is for registering someone who is already registered with a GP Practice in NI or GB. You will need photographic ID (Passport if born outside the UK), proof of address and a print out of medication from your previous practice. Any patients over 18 years old need to complete the practice 'new patient form' which is available to downlaod below, or collect at reception. If under 18 years old, you need to complete the 'Ethnic form' which is also available to download below or collect at reception.
3. The HSC/R1 form. This is for registering someone who is NOT already registered with a GP Practice in NI or GB. Any patients over 18 years old need to complete the practice's 'new patient form' which is available to download below, or collect at reception. If under 18 years old, you need to complete the 'Ethnic form' which is also available to download or collect at reception.
When submitting the HSCR1 form you will also need to provide photographic ID and proof of address. If you are not a UK Citizen but are a citizen of one of the European Economic Area (EEA) member states then your photographic ID needs to be a copy of your passport and an EU settlement confirmation. If you are neither a UK citizen nor a citizen of one of the EEA member states then your photographic ID needs to be a copy of your passport and also a copy of your visa.
List 1: Lawfully in NI
- Valid Passport
- Valid visa issued by the UK Home Office (if applicable)
- Birth Certificate, and where applicable, Marriage or Civil Partnership Certificate
- Certificate of Naturalisation or proof of EEA status
- Other valid photographic ID
List 2: Residing in NI
- Current NI Driving Licence (photo card and counterpart) with NI address
- Current NI rates bill
- Current NI Electoral Identity Care
- Current Home insurance policy valid for NI
- Signed, current tenancy agreement (not handwritten) or mortgage statement for property of residency in NI.
- Current bank statements for active account which shows NI address
- Recently paid utility bill (gas, electricity or telephone – not mobile phone) for property of residency in NI
- Housing benefit award letter for a property in NI
List 3: Reason for being in NI
- A letter or document from the Department of Communities (Belfast) confirming receipt of a UK state pension or benefit
- Recent payslip from current employer (showing employer’s address and employee’s National Insurance Number)
- A letter from Revenue & Customs (HMRC) with your unique tax reference/self assessment return showing NI address
- S1 form or letter from the Department of Employment & Social Protection (Dublin) confirming receipt of state pension
- HMRC Tax Credit Award