This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.


As part of the communications activity for the Manchester Access 'There for you' campaign, we would like to survey patients to test awareness levels now they are able to book evening and weekend GP appointments.

We would appreciate a few moments of your time to complete this short survey. It has been designed to test awareness of a new service available to all patients registered with a Manchester GP. Please click on the link below and follow the instructions online. Thank you - it is much appreciated.


Online 'pre-registration' with the practice

PreRegistrationIf you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the "Send" button to mail your form to us. Someone from the surgery will then contact you to complete the registration process and your registration will not be complete until this has been done. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Pre-registration Form

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Online medical questionnaire for new patients

Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.

Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

Registration Form

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website