Registration Information

You can register with our Practice as long as your home address is within the Practice boundary - as shown below.

Patient Registration

After completing the form below, you will need to come into the Health Centre to sign your form and provide us with both Photo ID and Proof of Address, before the registration can be completed.

NOTE: You can save your details and automatically populate this form by creating an account.
Click here to create an account or login.

Update Your Contact Details

If you change your name, address or telephone number, please let us know. You can do this with the online form below.

If you move outside the Practice area, it will be necessary for you to find a Doctor in your new area.

If you are moving temporarily out of our practice area, you must sign on with a GP in your new area. We will be unable to provide medical services to you until you return to our practice area.

Please note: if you are under the care of a hospital when you change address, it is your responsibility to let them know that your details have changed.

NOTE: You can save your details and automatically populate this form by creating an account.
Click here to create an account or login.

Update Your Contact Details

Please fill in the form below to update your contact details.

Title *
Mr Mrs Miss Ms Other
Name * First Last
Date of Birth * / DD / MM YYYY
Gender *
Male Female
Previous Address *

Street Address Address Line 2 Town/City County/Region Postcode Country
New Address *

Street Address Address Line 2 Town/City County/Region Postcode Country
New Home/Main Phone Number *

If you do not have a home telephone number please enter your main contact telephone number here instead.
New/Current Work Phone Number
New/Current Mobile Phone Number
New/Current Email Address *
Are you a student
No Yes
Where do you study
Other members of your family requiring a change of address (if registered here)
Family Member 1 Name
Date Of Birth / DD / MM YYYY
Place Of Birth
Family Member 2 Name
Date Of Birth / DD / MM YYYY
Place Of Birth
Family Member 3 Name
Date Of Birth / DD / MM YYYY
Place Of Birth
Family Member 4 Name
Date Of Birth / DD / MM YYYY
Place Of Birth

Sign Up For Text Message Reminders

Here at Botesdale Health Centre we will be piloting a new SMS (Text Messaging) Appointment Reminder service later in the year.

Signing up to this new SMS Text Messaging Service means you will receive an appointment reminder when the appointment is first booked and then a further reminder 48hours before the appointment.

Please note this service is currently only available to Patients of the aged of 16 Years or over.
PLEASE HELP US TO HELP YOU by giving us your mobile number and consent by completing the SMS Text Messaging Consent Form available to download below or at the Reception desk. Please return this form to Reception.

SMS Text Messaging Consent Form

Temporary Residents

If you are staying in the area (for up to 3 months) and require access to health care we will ask you to register as a temporary patient. Please come into the Practice and ask for a Temporary Resident form and, once completed and signed, you are able to receive medical assistance straight away.

Patient Registration

Patient Registration Form