Out of Area Registered Patients Application

If you are still living in Birmingham and would like to apply as an ‘Out-of-Area Registered Patient’, please complete this form. The Practice Partners will review your application and inform whether we can accept you as an out-of-area patient within 28 days.

Last Updated: 18/09/2024

Application Form





Patient Statement



This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.