Congratulations on the birth of your baby!
You must register the birth of your baby at your local Council, who will issue you with a Birth Certificate. Afterwards, please register your baby at our Practice by following the steps below.
Please do not omit any of the STEPS.
EMAIL ADDRESS: admin.chiswickfamilypractice@nhs.net
STEP 1: Complete and submit GMS1 – New Patient Registration form
Follow the link above (green button) to complete the online GMS1 – New Patient Registration form and provide patient information. Please fill in all the below information in the form.
- Title
- Surname(s)
- First name(s)
- Date of birth
- NHS No.*
- Town and country of birth
- Gender
- Home address
- Postcode
- Telephone number
Sign the document in ‘Signature on behalf of patient’ section and clearly state the date of the signature.
*NHS No – It can be found on the front page of The personal child health record (Red Book).
STEP 2: Download and complete the New Patient Questionnaire form
Health Questionnaire – CHILDREN
If you print the form off at home, do not bring the copy to the Practice. Instead, please email a scan or a clear picture of the form.
STEP 3: Email us a copy of the Birth Certificate and the New Patient Questionnaire form
The Birth Certificate is necessary to properly document the parents/guardians of the newborn who will assume the parental responsibility for the child.