First Floor, Evergreen Primary Care Centre,
1 Smythe Close,
N9 0TW
Tel: 0208 887 8329
Fax: 0208 887 8322
Out of Hours: 111
Rainbow Practice

Patient Registration

When you apply to join the Practice, you will be asked to provide proof of your address.

When you come to the Practice to register, you will be given a registration pack to complete.

Please note: if you wish to register any children who are 5 years old or under with the practice, we must have their immunisation records. If you do not have the records, you must make an appointment with the practice nurse to discuss what immunisations your child might need.

You are registered with the practice rather than an individual doctor and may see any of the doctors. You are able to express a preference of practitioner but you may have to wait longer for an appointment with that practitioner.

If you want to pre-register with us please fill in the form below.

NOTE: You can save your details and automatically populate this form by creating an account.
Click here to create an account or login.

Patient Registration Form

Patient Registration Form

Please complete the following form to register with us.

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  • Please help us trace your previous medical records by providing the following information

  • If you are from abroad

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  • If you are returning from the Armed Forces

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  • If you are registering a child under 5

  • If you need your doctor to dispense medicines and appliances*

    * Not all doctors are authorised to dispense medicines

  • NHS Organ Donation registration

  • NHS Blood Donor Registration

  • Summary Care Record

    A Summary Care Record is an electronic record which contains information about the medicines you take, allergies you suffer from and any bad reactions to medicines you have had.

    Having this information stored in one place makes it easier for healthcare staff to treat you in an emergency, or when your GP practice is closed.

    Click here for a leaflet containing more information.

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