Register with Broomfield Park Medical Centre
Thank you for completing the registration form via NHS website. In order for us to register you correctly we require you to fill out some extra questions.
You will be required to add a copy of your Photographic ID (passport or driving licence) that is correct and in date and a utility bill (bank statement, tenancy agreement, water bill etc) for proof of address; utility bills should be no more than 1 month out of date E.G. Registering in March – utility bill should fall into February’s date.
- It takes around 10 minutes to complete a registration.
- Please answer all the questions in full. Failure to complete this form correctly could result in your registration being rejected.
- Adults (16 plus) need to be able to provide proof of address and photo ID using the file link in this form
- For multiple or family registrations you need to complete one registration form per person.
- We aim to register you within 2 weeks of receiving your details and we will send you a confirmation text or email once you are registered on our system.