New Patients

Register as New Patient

If you wish to register with Burbage Surgery, please print off and complete all registration forms for each member of the family wishing to register. All forms should be forwarded to the practice who will process your registration as soon as possible. You will need to provide us with one photographic form of ID and proof of your home address. We will write to you to notify when your registration is complete. The registration process normally takes up to 14 days.

Please note that the practice is not presently registering patients living in Barwell and Earl Shilton.

Registration Form GMS1 - This must be completed for each registration application Adults & Children

New Patient Registration Form Adult

New Registration Form Child


The practice will confirm to you in writing whether your application has been accepted or declined. If you are presently living in this area you should consult with your present GP until your registration with us has been confirmed. If you are new to this area and you need to be seen prior to confirmation of your registration, our doctors will see you as a temporary patient.

All patients registered at this pratice will be allocated a named accountable general practitioner. At this practice, the named accountable GP will be the same as the patient's registered GP. The exception to this will be some patients aged over 75 years or patients at risk of hospital admission. Their named accountable GP may differ from their registered GP but patients will be notified if this is the case.  

All new patients over the age of 16 will be invited to a new patient consultation by the practice nurse within 3 months of registering. When attending for your New Patient Check, please bring with you a sample of urine, your repeat prescription card or medication issued by your previous doctor.

Burbage Surgery Patient Contract

Change of Personal Details

It is most important that you notify the surgery of any changes to your personal details as soon as possible. If you change your surname, address or telephone number, please ask at reception for a form on which you may enter your new details. If you move to a new address, which is outside of our practice area, you will be contacted by the practice and advised to register with another doctor nearer to your home. Unfortunately, it is not currently possible to remain registered with the practice once you have moved outside of the practice area.

Temporary Patient Registrations

If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient.

You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to re-register as a temporary patient or permanently register with that practice.

To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

Non-English Speakers

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.

Open the leaflets in one of the following languages:


Disabled Patient Facilities

Several parking spaces are reserved for disabled persons in our main car park. Ramps for wheelchairs of disabled patients are sited at the main entrance. All consulting rooms and disabled toilets are designed to allow easy wheelchair access.