Haddenham Medical Centre

Stanbridge Road, Haddenham, Buckinghamshire, HP17 8JX
01844 293300 Dr Mark Howcutt, Dr Nicola Wells, Dr Karen West, Dr Kaiser Munir, Dr Briony Rixon


Haddenham Medical Centre New Patient Questionnaire

Registration Form

Instructions on what to do with the registration form

If you want to join the practice please complete a registration form which can be downloaded here or picked up from reception. You will also be asked to complete a new patient questionnaire. Please bring the completed forms along to reception with the following identification documents (originals only):-

  • Photo ID:- Driving licence or Passport
  • Proof of Address:
  • Council Tax
  • Water Rates
  • Phone bill (landline)
  • Bank Statement
  • Household Utility Bill

Once you have been accepted as a patient your medical records will be transferred to us. You do not need to inform your existing practice that you are moving, although it may be courteous to do so.