The Elms Medical Centre
Enquiry & results line: 0161 766 2662
Appointments: 0161 766 2311

New patient registration form

  • Patient's details

  • Date Format: DD slash MM slash YYYY
  • Please help us trace your previous medical records by providing the following information


  • If you are from abroad


  • Were you ever registered with an Armed Forces GP

  • Date Format: DD slash MM slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Footnote: These questions are optional and your answers will not affect your entitlement to register or receive services from the NHS but may improve access to some NHS priority and service charities services.
    *Not all doctors are authorised to dispense medicines