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Downloadable Practice Forms

Please click on the link below to view printer friendly versions of our Practice forms and other information leaflets. Most of these forms and leaflets are available to pick up at Rothwell or Desborough Practice receptions, should you require it. Please also ensure you are using the latest version of our forms from the website as submission of incorrect versions may invalidate your request.    

Form/Leaflet Name

Instructions

Further Website Information

Blood Pressure Form

Only complete this form if you have been asked by a clinician, otherwise this information will not be reviewed.

www.nhs.uk/conditions/blood-

pressure-test/Pages/Introduction.aspx

Travel Form

See form

www.fitfortravel.scot.nhs.uk 

www.nathnac.org/travel/ 

www.dh.gov.uk/travellers

www.fco.gov.uk/travel

Repeat Sick Note Request Form

For your information, sick notes can be back dated.   Please see form for additional instructions.

www.gov.uk/government/publications/

statutory-sick-pay-employees-statement-of-sickness-sc2

www.gov.uk/statutory-sick-pay/how-to-claim

Online Registration Form

Online Records Information Leaflet

Only complete this form if you are already registered with our practice. You will need to provide proof of ID. (For new patients this form is included in the New Patient Registration Pack)

www.nhs.uk/NHSEngland/AboutNHS

services/doctors/Pages/gp-online-services.aspx

New Patient Registration Forms (Contains all of the individual documents below)

 

Children Under 16 Form

 

Care Data Opt Out Form

 

Carer Form

 

Identification documents required to register

1. Proof of identity (passport, driving licence, birth certificate etc.)

2. Proof of address (Identity card, official letter confirming address i.e. utility bill no more than 6 months old)

3. Proof of UK residency if applicable.

Please bring your ID and completed forms to reception.

www.nhs.uk/choiceintheNHS/Your

choices/GPchoice/Documents/rcgp_iyp

_full_booklet_web_version.pdf

 

digital.nhs.uk/summary-care-records/patients

Access to Medical Records Form

 

Access to Medical Records Information Leaflet

See Information Leaflet

Complaints Form

 See form



 
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