Register with us
Thank you for choosing to register with Kings Park Surgery.
In order to register you need to live within a certain distance of our practice – please call us if you wish to confirm that you live within our ‘practice area’. If you live outside this area, your registration may be rejected (This does not apply to UAL students).
Please complete the following fields as fully as possible, this will help us to process your details.
We will contact you to acknowledge receipt of your registration. The first time you attend the practice
for an appointment we will need to ask you to complete a brief form. It would be very helpful if you bring your NHS card when you visit the surgery for the first time.
Please note that we cannot currently accept registrations for children online. You need to be over 16 to use this service. Children are very welcome to register with us, but a parent or guardian needs to visit the practice to complete the form in person
As a security measure all information provided on this form will be sent as a secure, encrypted email.
Please note we are experiencing problems with our online registration and repeat prescription forms.