Sandmere Practice

020 7274 6366

Family doctor services registration

If you would like to register at the practice then please make sure that you meet our requirements before completing this form.

  • Patient's details - By completing this form you are also consenting to opting in for electronic communications from the Sandmere Practice

    Please complete all the fields to ensure the form can be sent

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

  • If you are from abroad

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • If you are returning from the Armed Forces

  • Date Format: MM slash DD slash YYYY
    Note: Not all doctors are authorised to dispense medicines
    I want to register my details on the NHS Organ Donor Register as someone whose organs/tissue may be used for transplantation after my death. You will need to complete and sign a form at the surgery.
    I would like to join the NHS Blood Donor Register as someone who may be contacted and would be prepared to donate blood. You will need to complete and sign a form at the surgery.