To register as an individual or for everyone in your household, you will need to complete a registration form.

How do I get my form?

* You can visit the surgery to obtain a form, and complete it there and then.

* You can print one off at home and bring the completed form down to the surgery.

Please bring original copies of the supporting documentation required; this will be photocopied and returned to you.


We need new patients to carefully read and understand our New Patient's Medicine policy; in the interests of safe and effective prescribing, this gives an expection of how we manage prescribing, and our patient's responsibilities with regards to managing their medication.

New Patient's medicines policy - please read carefully, sign, and bring with your HS200 or HSCR1 form.

Also, you need to fill in a HS200, or HSCR1 form, depending on your circumstances.

HS200 - this is if you are wishing to move from another surgery in Northern Ireland

You can collect one of these forms from reception, or print one off and complete it at home.  Please provide photographic ID and proof of address when you bring this into reception.

HS200 form 


HSCR1 - This form should be completed by any new patient from outside Northern Ireland wishing to register at your practice to obtain free treatment. 

This includes:


  •      Persons who are registered with a GP Practice in England, Scotland or Wales and are moving to Northern Ireland to reside or to stay here as a visitor.


  •      Persons who have come to Northern Ireland from other EEA countries or overseas. This can be someone born here who moved away and has returned for a visit or to take up residence again, or someone who has never been in Northern Ireland before.

You can collect one of these forms from reception, or print one off and complete it at home. 


 HSC R1 form

Please see list on Page 8 of HSC R1 registration form for documents that are required for you to register, please take the time to closely examine this; the below examples are not exhaustive.

  • That you are lawfully in Northern Ireland (eg. valid visa, EU or UK passport)
  • That you are residing in Northern Ireland (eg. proof of address such as a utility bill, or tenancy agreement)
  • That you have a reason for being in Northern Ireland (eg. payslip, tax credit letter)

The above are required to assess entitlement to free NHS services in Northern Ireland.


All new patients will also need to complete a new patient health questionnaire giving details of your important past medical history, medication you are on, allergies etc.

All new patients are offered a consultation with a doctor or practice pharmacist; this is primarily to gather medical history and get an accurate note of any repeat medication you may be taking; it may be necessary to reattend at a later stage to discuss medical conditions further, or in more depth, should this be warranted.

This form is available in a selection of other languages here:


We would ask that you pay very close attention to documentation required and answer all appropriate questions.  Failure to do so may delay your registration. 


Temporary Patient Registration

We can also register people if they are staying in the practice area on a temporary basis – either up to 15 days or over 15 days and up to 3 months. You will need to provide the name and full address of your own surgery.



Health and Social CareThis site is brought to you by My Surgery Website