New Patient Registration

How to register as a Patient at Cumberland House Surgery

 

Cumberland House Surgery has recently EXPANDED its Practice Boundary and we can only accept patients who are within our boundary area.


If you live in our practice catchment area you are welcome to join Cumberland House Surgery as a patient.

Please use the POSTCODE FINDER below to check as to whether you reside within our boundary:

To register you must complete a GMS1 Form and our New Patient Registration Form, these can be downloaded and printed from the website.  We would appreciate you not coming to surgery at this time but if you do require a paper copy of registration forms, please call and we can post these out to you. Download here
You will also need to complete our patient questionnaire which can be found here
We would also like to know your record sharing preferences here

We will ask you to also provide:

  • Proof of photographic ID (e.g. passport or driving licence [you may be asked for two forms of ID)
  • Proof of Address (e.g. utility bill or bank/credit card statement from the last four months, current tenancy agreement, government agency letter, higher education letter or a letter from a recognised employer).

 

When registering a child who is under 16 years of age, a separate New Patient Registration form will be provided to you.

A different questionnaire should be completed for a child here

**Parents will be required to bring in a copy of the child’s birth certificate when registering, and proof of address if online access is requested for patients aged 12 and under**

 

For new baby registrations, you are welcome to complete a GMS1 form (please ensure that you provide an NHS number on the completed form). Please pop into the Practice or download the GMS1 form here

 

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Contact Us

Cumberland House Surgery
Cumberland House Surgery
58 Scarisbrick New Road
Southport
Merseyside
PR8 6PG
Tel: 01704 501500
Fax: 01704 549382
Email: GP.N84005@nhs.net