Registration and Online Services
If you wish to register as a new patient, 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.
As part of the registration process, you are asked also to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your past records. Click the "Send" button to mail the form to us.
Please note: It is essential for your registration that you complete both forms!
New Patients - Click Here for Online Medical Questionnaire
New Patients - Click Here for Online Registration Form
In case you need information in braille, large print, easy read, British Sign Language interpreter or advocate or perhaps we can support you to lipread or use a hearing aid or communication tool please fill out the form below to.
Accessible Information Form
To read more on Accessibility Information please click on the link:
All adult patient may book GP and blood test appointments in advance and request regular monthly medication online. If you would like to take advantage of these services, click on the 'Online Access' tab above read the instruction and complete the registration form.
If you have registered already for Petworth Surgery's online services, please follow the link below to make appointments or request repeat medication...
Note that by sending any of these forms you will be transmitting information about yourself across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.
Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the Practice.
New Patient Registration Form