Moving from another surgery in Northern Ireland?


Use this form if you are wishing to move from another surgery in Northern Ireland

You can

  • collect one of these forms from reception to complete, or print one yourself and complete it at home; or as this is an editable PDF, you can also complete this on your computer (depending on your device/browser you may need to save this file locally before you can edit and save this).  Please provide photographic ID and proof of address when you bring your completed form into reception.

Please bring original copies of the supporting documentation required; this will be photocopied and returned to you.