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Online New Patient Registration
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New Patient Registration

The doctors welcome new patients who live within our practice area. As it often takes some time 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 consultation with the doctor. 

Our practice operates a non-discriminatory registrations policy; you can pop in to surgery and get your registration paperwork or download them below and email any completed forms to us at [email protected], alternatively you can register online via the forms linked above.

New Patient Registration Form [PDF]
Patient GMS1 Registration Form

Non-urgent advice: Please Note

If you’re registering your family/multiple persons with the practice, please submit one form for each person being registered.

Your Rights and Responsibilities

Here at Pelsall Village Surgery we aim to treat our patients courteously at all times and in return, we expect our patients to treat our staff in a similarly polite and respectful manner.

As a patient, it is your responsibility to:

  • Attend your appointments
  • Arrive on time to your appointments
  • Inform us of your past illnesses, medication, hospital admissions and any other relevant details

How you can help us:

  • Please notify the reception staff of any change of name and/or address or new telephone number. You can do so by an administration request through accurx.
  • Remember to cancel any appointments with the doctor or nurse if you are unable to attend. Not attending an appointment without cancelling wastes precious resources and means that other patients have to wait longer for their appointments.
  • Please make one appointment per person. A doctor cannot see a whole family in one consultation.
  • Remember the extended GP service is for urgent problems only. Please do not contact the emergency doctor for a second opinion or for anything that wait until the next working day.
  • We offer extended access appointments which are available at other GP surgeries in the area OurNet – extended GP access.
  • Please let us know of any difficulties you find when using our services and we will endeavour to put things right.
  • We ask you to be kind to our staff and operate a be kind policy. Any verbal or physical abuse is not tolerated and may result in you being removed from the practice to a special allocation scheme.

Practice Area

If you would like to check whether you are resident within our Practice area and so eligible to register with us a Practice then please enter your postcode below.

Catchment Area

Overseas Visitors

Those who visit the UK from overseas must pay for their care when they are in England.

In 2015 changes were made to how the NHS charges overseas visitors for healthcare so the NHS does not lose out on income for the services these patients have received.

Further information for overseas visitors

Temporary Registration

If you’re currently staying with a friend or family member within our GP surgery area for more than 24 hours but less than 3 months, you can ask to register as a temporary resident. You can find more information on registering as a temporary resident on the NHS website.

Registering with a GP as a temporary resident – NHS – NHS (www.nhs.uk)

If you want to register as a temporary resident at our GP surgery, please contact us and we will send you the relevant registration form.

Code of Conduct

For information on how we expect patients to act within our medical environment please see the drop down below:

1. Treat the GP’s and their staff with respect and patients can expect the same in return.

2. Do not abuse, intimidate, nor threaten, either physically or verbally, the GP’s, their staff or any NHS staff with whom you come into contact.

3. Engage with the practice to attend consultations and complete any necessary administration in respect to the management of your healthcare, including regular health and medication monitoring.

4. Engage with the GP practice staff to make or cancel appointments, to request urgent medical advice or to service your immediate primary care needs, including telephone contact. Should GP practice staff consider that engagement has moved beyond the above specifics or be considered unreasonable in content or volume, they will inform the relevant management/authority and will be at liberty to request that you leave the practice (to which you must comply) or to terminate the telephone call;

5. You understand that: a. you can access our medical services via pre-arranged appointments only, we are not a walk in centre

6. Prescription requests will not be taken over the telephone.

7. Routine clinical consultations (face to face and telephone) are scheduled for one problem  Should the consulting clinician consider that engagement has moved beyond the medical specifics of the consultation or be considered unreasonable, they will inform you of this and will be at liberty to terminate the consultation whether face-to-face or via telephone.

8. Urgent appointments will be provided in line with current practice arrangements and that you will be offered an appointment with whichever clinician has availability at that time should an urgent appointment be required. You may be signposted to another service if its more appropriate. GPs are not the only clinicians we have available. The front line staff have had training on signposting and care navigation and will get you to the right person

9. Should you have a complaint regarding the management of your primary medical care by Pelsall Village Surgery, either clinical or administrative, you are able to make a complaint to the GP practice through the Practice Manager verbally, phone or in writing who will deal with it in accordance with the practice’s Complaints Procedure. You also have the option to complain directly to the ICB.

10. You understand that failure to behave in accordance with the terms set out above may result in Pelsall Village Surgery removing you from our patient list. You will be given one warning of removal and on the second breach of this Code of Conduct you will be removed unless you behaviour is such that it requires the involvement of the Police, in which case you will be removed from the patient list with immediate effect