Patients wishing to Register

 

 


Patients wishing to register with the Dolphins Practice

To be eligible to register with the Practice you will need to live within a three mile radius. In order to register you will need to come into the Surgery in person with your medical card which you will be asked to sign and hand into Reception. Please bring some form of photo identification and a utility bill for proof of address. You will be given a welcome pack which includes a registration form. Included in the pack is a health questionnaire, consent to leave telephone messages and email form. We ask that you provide your NHS Number to help with registration although we can accept patients without it. You may also sign the form on behalf of your immediate family members.

It is at the discretion of the Practice to accept you onto the Practice list but such discretion cannot be discriminatory on the grounds of disability, medical condition, age, appearance, race, gender, social class, religion or sexual orientation.

There may be occasions when we need to contact you and it isn't always possible to reach you if you are at work etc, therefore we would be grateful if you could provide written consent to us either emailing you or leaving a message on the answerphone.
Download telephone consent and email address form.

Change of Name and/or Address

Please advise us of any change of name, address or telephone number at your earliest convenience to enable us to keep our records up to date and to contact you should the need arise. If you move out of the practice area, we may ask you to change to another practice nearer your new address.

Please remember - we are unable to contact you if we do not have your up to date information.

 

 

 
Change of Details
Location
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Dolphins Practice, Nightingale Primary Care Centre, Butlers Green Road, Haywards Heath, West Sussex RH16 4BN
Telephone 01444 414767 Fax 01444 451532 Dolphinspractice.co.uk
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