New Patients

Register as a New Patient

The doctors welcome new patients who live within our practice area. All newly registered patients will be asked to complete a health questionnaire.

Where possible, please provide a copy of your current repeat prescription. This will help us process any future prescription requests promptly and efficiently.

To register, please contact reception for a Registration Pack, or complete our online registration form below.

 
 
Close-up of a senior adult signing a legal document with a focus on hand and gold ring.

CMC NEW PATIENT REGISTRATION & HEALTH QUESTIONNAIRE

(NB: all information supplied will be recorded in your confidential medical records)

Patients Details
Previous address details
Military Veteran
Smoking
Alcohol For the following questions please answer to the best of your knowledge: We have provided a basic guide to alcohol content below to assist your completion:

A 750ml bottle of wine contains 10 unitsA standard (175ml) glass of wine contains 2 unitsA single small shot of spirits (25ml) contains 1 unitA standard 70cl bottle of spirits contains 28 unitsA pint of 3.6% strength lager/beer/cider contains 2 unitsA pint of 5.2% strength lager/beer/cider contains 3 units

Follow the link below to access more information including a guide to calculating your alcohol intake - Alcohol units - NHS (www.nhs.uk)
Or you can use Alcohol Change’s calculator - Unit calculator | Alcohol Change UK
Height & Weight
Please tell us your most recent measurements for the following (if known)
Family History
Is there any of the following in your family (father, mother, brother, sister) before the age of 65?
Allergies
Past Medical History
Carers
Communication
Thank you for taking the time to complete this questionnaire.

Temporary Patient Registrations

If you are visiting the area or staying for a short time, you may be able to register as a temporary patient. This allows you to receive necessary medical care while you are away from your usual GP and does not affect your permanent registration.

Temporary registration is usually available for up to three months.

To register as a temporary patient, please contact reception, who will advise you on the process and provide the required forms.

If you live within our practice boundary and wish to register permanently, please contact reception for a Registration Pack or complete our online registration form.

All newly registered patients will be asked to complete a health questionnaire. Where possible, please provide a copy of your current repeat prescription to help us process medication requests efficiently.

Non-English Speakers

These fact sheets explain how UK health services, including the National Health Service (NHS), work for people who have recently arrived in the UK and are seeking asylum.

They include information about:

The role of GPs and how they support patients

How GPs act as gatekeepers to other health services

How to register with a GP

How to access urgent and emergency care

The information is written in clear, simple language and has been tested with user groups to ensure it is easy to understand.

Please open the leaflets in one of the following languages:

Disabled Patient Facilities

Clarence Medical Centre is a purpose-built surgery, with consulting rooms spread over two floors. All consulting rooms are accessible by wheelchairs with use of a patient lift.

Access to the main entrance is possible by ramps from West Kinmel Street and from the surgery car park, which also has dedicated disabled parking bays.

Hearing loops are in place in both surgeries.

Ty Elan Surgery is all on the ground floor and is entirely wheelchair accessible. In addition there are parking facilities with disabled bays in front of the surgery and adjacent pharmacy. 

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Area that we cover when registering a new patient.