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To register with The Streatfield Medical Centre, please download and complete the forms below, and bring your NHS medical card (if available). If your NHS Medical card is not available then please bring your relevant documents, as proof that you are entitled to NHS treatment. Patients registering with the Practice will be offered a registration health check.

If requried, please ask at the reception and one of our receptionists will assist you with the registering process. 

We are proud to be a multi-cultural and multi-ethnic practice. We welcome patients from every background.

Patient Registration Pack

Below are the forms required to register with the surgery. Please complete ALL of the forms and bring the completed forms to the surgery. Alternatively, request the forms from the reception at the surgery.

How to Register as a Patient at SMC (.pdf)

 What happens after you have completed your Registration Form? (.pdf)

Adult Registration Medical Questionnaire: Male and Female - 16 years and over (.pdf)

Child Registration Medical Questionnaire: Male and Female - 0-15 years (.pdf)

Recording Consent of New Patients for Data Sharing Initiatives in Harrow (.pdf)

Summary Care Information (.pdf)

Summary Care Opt Out form (.pdf)

Online Access Request Form (.pdf)


Your Neighbourhood Professionals KL Pharmacy
© Neighbourhood Direct Ltd 2017
177 Streatfield Road, Kenton, Harrow, Middlesex, HA3 9BL
  • Telephone 020 8204 5561
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Your Neighbourhood Professionals KL Pharmacy
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