The Practice list is open to new patients, we are currently posting the registration packs out to patients to complete the forms required to register with us. Alternatively you can download them for the links below and then return the completed and signed forms via email to [email protected] or by posting them back to us.
PLEASE ENSURE YOU HAVE COMPLETED ALL OF THE FORMS CORRECTLY AS WE WILL BE UNABLE TO COMPLETE YOUR REGISTRATION, IT WILL REMAIN AS PENDING AND YOU WILL NOT BE REGISTERED AT PARKSIDE SURGERY.
- GMS1 Form (NHS number is required – we will be unable to complete your registration with it)
- Audit C Form
- Summary Care Record
- Record sharing form
- New patient questionnaire for Adults
- New patient questionnaire for Children
- How we use your Health Records
The practice area includes Alfreton, Leabrooks, Pinxton, Riddings, Shirland, Somercotes, South Normanton, South Wingfield, Stonebroom, Swanwick, Westhouses. Please click HERE to check if you are living in our practice area
Updating your Details
If you change name, address or telephone number, please let our receptionists know by calling or completing the online form below. If you move outside the practice area you will need to find a doctor in your new area. There are instructions on what to do when you move to a new area on the back of your NHS medical card. It is often best to ask someone in your new area if they can recommend a doctor. Unfortunately once you have moved outside the practice area it is unsafe for you to remain with the practice, as our doctors will not be able to care for you should you ever be too ill to attend surgery.Please select a valid form