Hobs Moat Medical Centre
Ulleries Road, Solihull, B92 8ED
Tel: 0121 742 5211     Fax: 0121 722 8000     Out of Hours: 111
When we are closed please call 111 for all health advice. A&E is for EMERGENCIES only - please use services carefully - call 111 when we are closed for the out of hours services!! Read 'Surgery news' today stay ahead of the game! Do you have a Health Question? see if we can answer it by checking out 'health topics!' Find embarrassing bodies helpful - join the online chats on surgery news! March is Ovarian Cancer Awareness month, for more informaton check our our really useful page

Patient Registration

Before registering please check that your address falls within our Practice boundary – you can do this by clicking this link and entering your postcode in the box provided.

You can register as a patient by either

  1. clicking this link, printing off the form and sending or handing into our reception desk,
  2. or complete the form below and submit this to us on line.

Please note we MUST have your NHS number in order to register you. If you do not know your NHS number, your previous GP practice will be able to give you this. In the rare circumstances where you do not have or cannot obtain your NHS number, then please either come into the Practice or call us - you cannot register online without your NHS number. You will need to book an appointment to have a new patient check, if you are on repeat medication this will be with a doctor, or if not, with one of our Practice Nurses. Please make sure you obtain at least three weeks medication from your previous GP before you register as it takes a few days to obtain your notes.

Want to contact the surgery? Use the following Email: surgery@hobsmedicalcentre.co.uk

 

NOTE: You can save your details and automatically populate this form by creating an account.
Click here to create an account or login.

Patient Registration Form (New June 2016)

Patient Registration Form (New June 2016)

Please complete the following form to register with us. By giving us your mobile and e-mail address you consent to us retaining this information and using these means to contact you regarding appointments and reminders, test results and any other issues relating to your health or your registration with us. Please note further information of how we use your data can be found in a separate leaflet available in the reception area.

  • The Accessible Information Standard requires providers of NHS to identify, record, flag and meet the information and communication support needs of people with a disability or sensory loss.

  • This information is only used in helping us to provide you with the most appropriate forms of communication

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  • Please help us trace your previous medical records by providing the following information

  • If you are returning from the Armed Forces

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  • Have you ever suffered from any important medical illness, operation or admission to hospital? If so please enter details below:

  • If yes, please answer the following questions

  • If yes, please answer the following questions

  • Urine Specimen - Please bring in a specimen of urine when you attend for your new patient check

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  • Whilst you are under no obligation to answer the following question, this information allows Hobs Moat Medical Centre to ensure services are provided where they are needed and that our healthcare is tailored to your individual needs. Please remember that all staff who are part of Hobs Maot Medical Centre are bound by strict rules of confidentiality and we will not disclose any information aout you without your permission.

  • Where you have provided information on how to contact you, can you confirm you are happy for [insert name of practice] to contact you by the following

  • This will be to send you letters, newsletter and the like

  • This will be to send you reminders of appointments via text

  • A new patient check will be booked for you to see either our nurse or if you are on long term medication, one of our doctors.

  • NHS Organ Donation registration

  • NHS Blood Donor Registration

  • Summary Care Record

    A Summary Care Record is an electronic record which contains information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had.

    Having this information stored in one place makes it easier for healthcare staff to treat you in an emergency, or when your GP practice is closed.

    Click here for a leaflet containing more information.

  • If you fail to attend for this appointment then we will NOT ACCEPT YOU AS A PATIENT on our list.

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  • Captcha

    This helps to prove you are human and not a robot.

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