The High Street Practice welcomes all patients living within our catchment area.
Please check with our catchment map below or call and speak to reception to see if your address falls within our catchment area.
Your registration status with us will depend on whether you are a visitor, staying temporarily in the area or are a permanent resident.
As it often takes sometime for records to be forwarded from your former practice all newly registered patients will be asked to complete a health questionnaire and are offered a new patient health check with the nurse or HCA.
For children under 16 please email a copy of the their red book or a list of immunizations that they have received to date.
If you are taking any repeat medication email a copy of the prescription or the medication with you when you register to email@example.com
Registration with the practice
1. If you wish to register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us.
Registration Form (Online)
2. Please also complete the health questionnaire below:
This is because it can take a considerable time for us to receive your medical records. The more detail that you can give allows us to provide you with the best possible care right from the start.
Online medical questionnaire for new patients
Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.
3. Please email proof of address and Identification - ie passport or drivers licence with your current address to firstname.lastname@example.org
We cover Yiewsley, West Drayton, Sipson and Cowley. We do not cover Uxbridge and Hayes.