Welcome to Belmont Medical Centre

New Patients

Patient Registration

You have to be registered with the practice to use the services. For emergencies, temporary registration can be obtained.

The practice constantly tries to improve the service offered. To assist in providing you with this service we need to ensure we are the right team for you. To do this and also to obtain some of your medical background we need you to have a NEW PATIENT MEDICAL. The medical covers basic information about you and your health. Please contact reception to make an appointment.


Practice Area

We welcome patients living within the practice area, shown below.

Pre-Registration with the practice

If 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. You will then need to contact the surgery to arrange an appointment for a new patient health check. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

Complete our registration from

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. Please print out the form below, complete it and bring it with you to your new patient health check appointment.

New Patient Questionnaire

Note that by sending forms electronically 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 and new patient information questionnaire, fill them out and bring them in with you to the practice to register.