We welcome patients seeking to register with the surgery. Please download and complete the forms below if you would like to register with us.  Once you have completed and signed the two linked forms below, please bring them to the Practice receptionist at the surgery along with two form’s of ID, one preferably being photo ID, who will pass these through for processing.

The Practice covers a large area of the Wyre Forest district, operating from two sites; our main purpose built surgery at Hume Street, located in the centre of Kidderminster, and our village medical practice in Cookley.

We will ask for your records to be sent through to us from your previous GP Surgery and you will be offered an appointment with one of our doctors.

If you would like to opt out of having a Summary Care Record created please complete the relevant form, sign and date it, handing it in with the rest of your paperwork.

GMS1 – Registration form for new patients 2017

New Patient Questionnaire 16 +