New Patient Registration

Patients will need to bring the forms into the surgery with there photo ID and proof of address.

PLEASE ENSURE YOU DOWNLOAD AND COMPLETE ALL OF THE FORMS BELOW.

Application for Online Access to my Medical Record

New Patient Health Questionnaire

Alcohol Questionnaire

Benzos New Patient Agreement Parkside


We take applications from patients who live in our practice area.

Please follow the link below, complete and submit the registration form:
https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/826307/GMS1-family-doctor-services-registration-form.pdf

Practice Area

Our practice only takes on patients inside our practice’s boundary:

  • Up to Dryden Street in Padiham, we do not cover Higham or Fence.
  • Up to and including Valley Gardens at Hapton.
  • As far as Halifax Road and Kings Causeway at Brierfield
  • All of Cliviger up to Cliviger school.
  • Worsthorne, Hurstwood and Mereclough.
  • Manchester Road up to Crown Point Road.
  • Todmorden Road, up to the crossroads at Bacup Road

Guide to GP Services

The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them. You can download the guide below.


Practice Area

Our practice only takes on patients inside our practice’s boundary:

  • Up to Dryden Street in Padiham, we do not cover Higham or Fence.
  • Up to and including Valley Gardens at Hapton.
  • As far as Halifax Road and Kings Causeway at Brierfield
  • All of Cliviger up to Cliviger school.
  • Worsthorne, Hurstwood and Mereclough.
  • Manchester Road up to Crown Point Road.
  • Todmorden Road, up to the crossroads at Bacup Road


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