Registration Form

Registering as a patient with this practice

Application to Register with a General Medical Practitioner

If you would like to register as a patient as this practice, you are welcome to complete the form below and submit it to us. However, please note that submitting this form does not complete the registration process. You will still need to come into the practice to do this, and there will be other forms to complete. We will also ask you for some form of ID that confirms your name and, if possible, your address.

Alternatively, just come into the practice and complete all the forms there, or take them away and bring them back later on.

About This Form

Fields marked with a red asterisk are
compulsory.

You should only send this form if you are sure that you are eligible to join this practice.
Sending this form will NOT automatically register you with the surgery.
Your details will be held at the surgery for a limited period of time. You are required to present in person to sign your registration form and provide proof of your address
Sending this form does NOT guarantee or even imply that you will be accepted onto the practice register
Please note that by using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of registration.

Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.

Patient's Details - Please complete the text boxes and tick where appropriate.

Please help us trace your previous medical records by providing the following

If you are returning from the armed forces

NHS Organ Donor Registration

For more information, please ask for the leaflet on joining the NHS Organ Donor Register

NHS Blood Donor Registration

Sending

New Patients – 21 June 2021

We are happy to register new NHS patients within our practice boundary area: https://www.cowleyroadmedicalpractice.org.uk/the-practice/new-patients/

 

Patient Journey – 21 June 2021

Due to the ongoing issues surrounding Coronavirus we have had to adapt the way in which we operate. To help patients understand how we now operate, we have created a guide to the processes that take place in the practice: Patient Journey

 

Ordering repeat prescriptions – 21 June 2021

If you would like to order a repeat prescription, please do so by emailing your request to the practice on [email protected]. Alternatively, please speak to your pharmacist who will be able to make the request for you. If you are not sure about your list of medications, please look at the paper that comes with your medication – the list will be there. Your pharmacist will also be able to give you a list. Patients are no longer able to order repeat prescriptions directly through the website. This is a patient safety measure, to make sure that all requests are properly checked before the medication is authorised. We do not accept requests by telephone, again, for reasons of patient safety

 

Think COVID! – 21 June 2021

Every day we receive a significant number of calls from patients experiencing cough symptoms or fever who are not thinking that they have COVID because their symptoms are not severe. Unlike what may come across in the news and media, most people with COVID will have mild or moderate symptoms. So please, if you have a new cough or fever, no matter how mild, or a loss in your sense of taste or smell, think COVID, isolate at home and arrange a COVID test. You may have only one of those symptoms – for example, just a fever, and still have COVID.

 

Further advice about managing your symptoms can be found at https://www.nhs.uk/conditions/coronavirus-covid-19/ or by calling 111.

 

Coronavirus vaccination – 21 June 2021

We are receiving many telephone queries about coronavirus vaccinations. These are being offered for residents of Oxford city in a number of sites across the city, rather than at individual practices. We do not have vaccines at the surgery. Our patients will be invited to receive a vaccine in line with a priority list set out by the national body responsible for vaccination. We cannot change the order. Please be patient – you will receive your invitation in due course when it is your turn.

 

Coronavirus vaccination for health care staff and social care workers – 21 June 2021

If you are a health care worker and your employer has not already made arrangements for you to receive a COVID vaccine, please email your details to [email protected] with details of your role, and your employer. This information will be coded and passed to the relevant bodies who are organising vaccines for staff.

 

COVID self-isolation rules – 21 June 2021

If you have symptoms of COVID, you should start to self-isolate and arrange for a test. You should remain in self-isolation from the day your symptoms started and the next 10 full days. Your household members must also self-isolate for 10 days from the start of your symptoms. They should not get a test unless they have symptoms. A negative test during their period of isolation does not mean that your contacts can return to work or normal activities. If you still feel unwell at the end of 10 days, you should seek medical advice, and not return to work. You may return to work if your only symptoms are cough or loss of sense of smell. The full guidance can be found here

https://www.gov.uk/government/publications/covid-19-stay-at-home-guidance/stay-at-home-guidance-for-households-with-possible-coronavirus-covid-19-infection

 

Do you need practical help? – 21 June 2021

Are you worried about receiving your medication or about getting food during the coronavirus lockdown? Are you worried about a neighbour or a relative?

Voluntary support may be obtained through https://oxfordtogether.org/. You can register yourself or a relative or someone you are concerned about for support. The council has a coronavirus helpline which can be found at https://www.oxford.gov.uk/info/20301/coronavirus_information_and_guidance or by calling 01865 249 811