Patient registration & other forms

The following forms and leaflets are available to download and print off.  Just click on the form required & return the completed form to reception.

New patient registration

We are currently accepting new patients at Minchinhampton Surgery. However, please make sure to check that you are within the surgery’s catchment area before completing your forms. You can now register online to become a new patient at Minchinhampton Surgery via the GP Registration Service. Alternatively, you can download and print a copy of our registration form here and bring the completed form back to reception.


Carer registration form – let us know you are an informal carer

Online services

Online access form – apply for access to your own GP online services

Proxy online access form – apply for proxy access to GP online services

Complaints & feedback

Patient complaint form

Third-party complaint form

Other forms & leaflets

Change of address form – let us know you have moved

Travel questionnaire form

Out-of-area application form – for patients who are outside our catchment area

Practice information leaflet