Registration forms

If you would like to save yourself some time on your first visit to the practice, please download and print a copy of our registration form, and new patient form.  We are only able to register new patients who live within in our practice area.

Practice Area

We are able to register new patients in the city of Ely and the surrounding area. This includes the following villages:

• Coveney
• Little Downham
• Little Thetford
• Prickwillow
• Pymoor
• Queen Adelaide
• Wardy Hill
• Witchford

Please note, in order to fully register you we will need your NHS number.  This can be obtained from your previous practice.  One form is needed for each family member who is being registered.

When you attend with your form to complete your registration, you will need to bring photo ID and proof of your current address such as a utility bill.

New Patient Form (Over 18yrs)

New Patient Form (Under 18yrs)

Registration Form