New Patient Registration

Derby Road and Pinewood Surgeries welcome new patient registrations within the practice areas.

You will need to bring two proofs of ID in order to register. A form of photo ID and a utility bill with your current address, which is less than 3 months old, will be accepted.

If possible please download and complete the forms below and bring these along with you.

Family doctor services registration

Consent form to share health record

and

Patient Questionnaire (Adults & Children 15 years and older)

or

Patient Questionnaire (Children 14 years and under)

DERBY ROAD AND PINEWOOD PRACTICE AREA

Ipswich (excluding west/north west), Sproughton, Washbrook, Copdock, Belstead, parts of Nacton, Foxhall, Kesgrave up to Grange Farm, Rushmere St. Andrew, and Playford.

If English isn't your first or preferred language you can still use our services. We offer a service for our non-english patients via LanguageLine. For more information please either contact us or visit https://www.languageline.com/uk/solutions/industries/medical-translation/These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS). 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

English

Albanian

Arabic

Bulgarian

Chinese (Cantonese)

Chinese (Mandarin)