New Patient Registration

Before you apply to register with the practice it is important to make sure that you are within our practice area. Click here for our Practice Area map and postcode checker

All new patients wishing to register must complete a registration form and fill out a Health Questionnaire. To save time when registering, you can complete the forms prior to your visit to the practice.

If you would like to register and live within the practice boundaries please complete the below registration forms and email the completed forms to

Alternatively you can put them in the letter box outside the King Harold's Way Surgery, Erith Health Centre and Hurst Place Surgery.

GP registration form GMS1

New patient health questionnaire (PDF, 538KB)

Patient Online registration form (PDF, 223KB)

The surgery is now offering Electronic Prescription Service, which will be able to save your time by avoiding unnecessary trips to your GP. EPS makes it possible for your prescriptions to be sent electronically to the pharmacy or dispenser of your choice. Please fill up the form below and attach with the registration form.

EPS nomination form

When Registering As A New Patient It Is Good To Know:

  • That it can take up to a month to be uploaded as a new patient from when you submit to us your forms.
  • You will usually receive a text message confirming when you have been registered.
  • The Practice will be unable to do things like provide you with a repeat prescription or appointments until you are registered.
  • If you was previously registered with another Practice then we will request your medical records from them however it can take up to six months for these to come through. Therefore, it may be a good idea for you to request a "brief summary" from your previous Surgery before you register with us and hand it in with your registration forms. That way, if you want a repeat prescription for example then the process will be easier when you become a registered patient with us as our GP's will have it in writing that you are officially on that medication.

Interpretation Services That Bexley Medical Group Can Offer:

Bexley Medical Group is proud to offer a wide range of interpretation services to our patients and we strive to support our patients with any communication needs.

Patients should make us aware If English is not their first spoken language / they are deaf and would like us to book them an interpreter for appointments when registering as a new patient. This will be recorded on their notes but please inform us when making an appointment if an interpreter will be required to ensure that a booking is made.

We can request for an interpreter to attend appointments with our patients who are: Non English speaking and deaf (via a BSL sign language interpreter.)

Pre-Registration Form

When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Access to medical records services

Click here to download information that you need to read before requesting online access to your medical records.  Click here to download (PDF, 223KB)

New Patient Registration
Please help us trace your previous medical records by providing the following information
If you are from abroad
If you are returning from the Armed Forces
If you need your doctor to dispense medicines and appliances*

* Not all doctors are authorised to dispense medicines

Ethnic Origins

Please indicate your ethnic origin. This is not compulsory, but may help with your healthcare, as some health problems are more common in specific communities, and knowing your origins may help with the early identification of some of these conditions.

Select the option that best describes your ethnic group or background from the options below

PATIENT DECLARATION for all patients who are not ordinarily resident in the UK

Anybody in England can register with a GP practice and receive free medical care from that practice. However, if you are not ‘ordinarily resident’ in the UK you may have to pay for NHS treatment outside of the GP practice. Being ordinarily resident broadly means living lawfully in the UK on a properly settled basis for the time being. In most cases, nationals of countries outside the European Economic Area must also have the status of ‘indefinite leave to remain’ in the UK. Some services, such as diagnostic tests of suspected infectious diseases and any treatment of those diseases are free of charge to all people, while some groups who are not ordinarily resident here are exempt from all treatment charges. More information on ordinary residence, exemptions and paying for NHS services can be found in the Visitor and Migrant patient leaflet, available from your GP practice.

You may be asked to provide proof of entitlement in order to receive free NHS treatment outside of the GP practice, otherwise you may be charged for your treatment. Even if you have to pay for a service, you will always be provided with any immediately necessary or urgent treatment, regardless of advance payment. The information you give on this form will be used to assist in identifying your chargeable status, and may be shared, including with NHS secondary care organisations (e.g. hospitals) and NHS Digital, for the purposes of validation, invoicing and cost recovery. You may be contacted on behalf of the NHS to confirm any details you have provided.


Complete this section if you live in another EEA country, or have moved to the UK to study or retire, or if you live in the UK but work in another EEA member state. Do not complete this section if you have an EHIC issued by the UK.

If you are visiting from another EEA country and do not hold a current EHIC (or Provisional Replacement Certificate (PRC))/S1, you may be billed for the cost of any treatment received outside of the GP practice, including at a hospital.

If yes, please enter details from your EHIC or PRC below:

How will your EHIC/PRC/S1 data be used? By using your EHIC or PRC for NHS treatment costs your EHIC or PRC data and GP appointment data will be shared with NHS secondary care (hospitals) and NHS Digital solely for the purposes of cost recovery. Your clinical data will not be shared in the cost recovery process. Your EHIC, PRC or S1 information will be shared with The Department for Work and Pensions for the purpose of recovering your NHS costs from your home country.

Name And Address Of School / College (All Patients Aged 18 And Under)
Smoking Status


Alcohol Status

If you currently drink or are an ex-drinker, please answer the following

Height & Weight
Medical History

Are any of your close relatives (mother, father, brother or sister) suffering with/or suffered from any of the following

Have any of your close relatives died from either of the following

Accessible Information Standard

The Accessible Information Standard aims to ensure that patients (or their carers) who have a disability or sensory loss can receive, access and understand information, for example in large print, braille or via email, and professional communication support if they need it, for example from a British Sign Language interpreter.

This applies to patients and their carers who have information and / or communication needs relating to a disability, impairment or sensory loss. It also applies to parents and carers of patients who have such information and / or communication needs, where appropriate.

Individuals most likely to be affected by the Standard include people who are blind or deaf, who have some hearing and / or visual loss, people who are deaf blind and people with a learning disability. However, this list is not exhaustive.

If yes please complete the rest of the questions in this section. If no you can move on to the next section

Alcohol Questions
Access to GP online services

Application for online access to my medical record

I wish to access my medical record online and understand and agree with each statement

Important Information – Please read

It will be your responsibility to keep your login details and password safe and secure. If you know or suspect that your record has been accessed by someone that you have not agreed should see it, then you should change your password immediately.

If you can’t do this for some reason, we recommend that you contact the practice so that they can remove online access until you are able to reset your password.

Electronic Prescription Service Nomination
Your next of kin details

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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