Severn View Family Practice

"Delivering the right care to the right people at the right time"

Patient Registration Form

To register with us, please follow these steps:

1. Download both forms from the buttons below:

2. Then print them out and fill it in by hand.

3. Once you have filled them in, please either scan them in or take a clear picture of the forms including all sections of both pages.

4. Then please upload these files using the boxes below.

You can either upload both pages as one document on the first link, or each page separately if you are unable to do this.

GMS1 Form Submissions
GMS1 Form - Page 1 *
Maximum upload size: 8.39MB
GMS1 Form - Page 2
Maximum upload size: 8.39MB
Online Registration Form - Page 1 *
Maximum upload size: 8.39MB
Online Registration Form - Page 2
Maximum upload size: 8.39MB

Coronavirus (COVID-19)

NHS 111 | Stay At Home Guidance | NHS Information Page | Government Response

The email address for the practice is - severnviewfamilypractice.reception@nhs.net In the current Covid situation this can be used for ordering prescriptions to reduce the footfall through the practice and eliminate paper presciptions. Please include your name/ DOB/ and address. If you do not have a nominated chemist for your prescription to be sent to please include where you would like it on your email - you will be asked not to c Link URL ollect it from surgery. THE SURGERY DOORS ARE NOW CLOSED BUT WE REMAIN OPEN FOR PRE-BOOKED APPOINTMENTS ONLY, FOLLOW THE SIGNAGE OUTSIDE THE PRACTICE AND OUR RECEPTION TEAM WILL ASSIST YOU THROUGH THE WINDOWS.

PLEASE CONTINUE TO FOLLOW GUIDANCE AND REMAIN HOME AND STAY SAFE. FOR PATIENT ONLINE ACCESS YOU WILL NEED TO COMPLETE THE ONLINE FORM FOR A PIN TO ACCESS THE ONLINE SERVICE IT WILL NOT ACTIVATE JUST BY CLICKING ON PATIENT ACCESS BUTTON WITHOUT THE PIN NUMBER THANKS