Documents and Forms

Documents and Forms

Documents and Forms

All documents are in Adobe Acrobat format (.pdf) and can be viewed on any computer or smart phone.

New Patient Documents

To register as a new patient at My Health you will need to complete a GMS1 registration form and a My Health New Patient Questionnaire for each patient wishing to register and hand these to one of our reception teams to be processed. We cannot see you until this process has been undertaken:

PDF GMS1 Registration Form for New Patients

PDF My Health New Patient Questionnaire Jan 2018

 Change of Patient Details Form

PDF Access to Online Services for Housebound Patients Form



All patients attending a My Health clinic for travel health advice should complete the following form, providing as much information as possible and bring with them to their appointment:

PDF Travel Advice, Fees & Questionnaire February 2018

PDF Guidance for Travelling Outside of the UK


Electronic Prescriptions

PDF Patient Nomination Form

PDF Patient Cancellation Form


Medical Record Data Sharing

PDF Who Has Access To My Health Care Data?

PDF Summary Care Record Information

PDF Summary Care Record Opt-Out Form

PDF HSCIC Data Sharing



PDF Private Fees February 2018

PDF How To Make A Complaint

PDF Freedom of Information Leaflet

PDF MyHealth CQC Statement of Purpose

 Change of Patient Details Form

PDF Who Should I See at MyHealth?

PDF MyHealth Practice Brochure – December 2017


MyHealth Matters – Winter 2017

PDFMyHealth Matters – Winter 2016

PDF MyHealthMatters – Summer 2014

PDF MyHealthMatters – Spring 2014

PDF MyHealthMatters – Summer 2013

PDF MyHealthMatters – Spring 2013

PDF MyHealthMatters – Winter 2012

PDF MyHealthMatters – Issue 1


Health Care Leaflets

PDF Contraceptive Implant

PDF Contraceptive IUD

PDF Books On Prescription

Survey Reports

PDF Patient Participation Enhanced Service Report 2014/15

PDF Annual Patient Survey Report 2014

PDF Patient Participation Report 2012-2013

PDF Annual Patient Survey Report 2012

PDF Patient Reference Group Survey Report June 2012