Please complete all sections of the form in full. If there is any information missing we will be unable to proceed with your registration.

In the event information is missing we will try and contact you, but we have a limited window in which to edit your registration. So please  respond to us as soon as possible. We may make contact via Email or telephone. After 14 days your pre-registration will expire and we will be unable to proceed.

Read the instructions below before proceeding to avoid any common mistakes

Complete section 2 using your Nottingham address details. We require all information such as flat numbers, building names, street names etc. in order to process the request.

Reg2a

Please complete section 4 with your UK home address, i.e. your address when not at University; your non term time/out of Nottingham address.

We only require the name of the surgery or health centre where you are currently registered – not the address.

reb4

Please follow this link for the pre-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