To register with the Pall Mall Surgery, using forms provided on our website :

Please complete the following forms :

Adults :

Registration Form - Adult and Under 18s

Patient Questionnaire - Adult

Sexual Health Form

The Alcohol Use Disorders Identification Form.

Under 18s:

Registration Form - Adult and Under 18s

Patient Questionnaire - Under 18s

Please complete the above forms, print off and return to the surgery.  Please bear in mind you will need to attend the surgery in person and provide your photographic ID and proof of address prior to registration being complete.

Registration Form - Adult and Under 18s

The Alcohol Use Disorders Identification Test.docx 

New Patient Questionnaire - Adult

New Patient Questionnaire - Under 18 Years

If you require any of our leaflets in an easy viewing format please let us know so we can make the necessary arrangements for you.

Thank you

 

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