Out of Area Registration

Out of Area Registration

Out of Area Registration

If you wish to register with Manor View Practice as an out of area patient please complete the form below.

  • If you are currently registered with Manor View Practice please complete sections 1 and 2 of this form.
  • If you are not currently registered with Manor View Practice please complete sections 1 and 3 of this form.

We will notify you of our decision within 21 days. If you are not currently registered with us and we accept your registration you will be advised to complete the full registration form.

Manor View Practice will decide, following a review of your completed registration form, whether to accept you as a regular patient or accept you without home visiting duties (if it is clinically appropriate and practical for you to be registered away from home).

Because of the greater distance to your home, Manor View Practice is under no obligation to offer you a home visit. If you are not well enough to go to the practice yourself, then other arrangements will be made. NHS England (the body responsible for buying GP services) ensures there is access to a service either near your home or at home (if needed).

Additionally, if you’re worried about an urgent medical concern, you can call the NHS 111 service to speak to a fully trained adviser. This service is available 24 hours a day.

Section 1 - Current Details (For All Patients)

MrMrsMissMsDrOther

Section 2 - Change of Address and Phone Number (for Current Patients)

New Address

New Phone Numbers

Section 3 - New Patients

YesNo
YesNo