New Baby Registration

New Baby Registration Form
Please confirm

Child’s Information

Address
City/Town
County
Postcode

Further Information

Family or child known to social care?

Communication

It is important that we can contact you regarding your child if we need to. Please ensure that you keep you contact details up to date. You can use the NHS App or other online services provider to update your details if this information changes.
This service allows you to receive appointment reminders, cancel appointments and receive invitations to clinics etc)
Required if this is your preferred method of contact

Information about your child

This Practice, in line with other healthcare providers and all other statutory services such as local authorities etc, now collect information about the ethnic group of patients. This information will help us learn more about patients’ needs and then allow us to plan services to meet the health needs of the entire community and ensure that everyone has access to healthcare services which meet their needs.

You will also be required to complete a GMS1 form when you attend for a new patient check

Parental Responsibilities (Adult 1)

Please provide us with details of all adults with a parental responsibility for this child

At least one adult with parental responsibility MUST be registered with our practice. 

Address
City/Town
County
Postcode

Parental Responsibilities (Adult 2)

Please provide us with details of all adults with a parental responsibility for this child
Address
City/Town
County
Postcode

Online Access

We now provide online record access to prospective data in your medical record
*

Summary Care Record

The practice promotes the use of the Summary Care Record in urgent care settings such as A&E, Urgent Care Centre etc which ensures the person you are seeing is aware of your medical history e.g. allergies
For further information about Summary Care Rec ords – please view our website pages https://www.oaksplacesurgery.nhs.uk/imt/summary-care-records/

Notes

Declaration

Please ensure you have read all the documents and web pages referred to before ticking these boxes, failure to adhere to responsibilities could result in removal from our list
Sending