Temporary Registration

Please fill out this form if you require temporary services for the surgery. If you wish to register with the practice fully, please follow this link as this is just for patients who are coming from out of the area who wish to register temporarily https://gashouselane.gpsurgery.net/patient-info/register/


Temporary Services Registration form

Please ensure your postcode in included
Please ensure your postcode in included
Doctor's name and full address

To be completed by the doctor

Date published: 06/10/2022
Date last updated: 06/10/2022