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CHANNEL VIEW MEDICAL PRACTICE

 


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You can now register on line! See below.

Welcome to the practice!

Thank you for choosing us.

  • As we are a PMS Practice, you will be registered with the Practice, not a specific doctor.  However, for administrative purposes only, we will nominate a doctor with whom you will be registered. However, you can see any doctor at any of our sites, irrespective of who you are registered with.

You can register by -

  • Coming into one of the surgeries. The receptionist will ask you to fill in a form. This asks for - full name, maiden name, address, date of birth, town and country of birth, previous address, previous GPs name and address. She will also give you a questionnaire to fill in, which asks for some of your medical history and includes a request for you to bring in a urine specimen and take your own blood pressure (we have a blood pressure monitor in each of our surgeries for you to do this).  The completed questionnaire will be checked by one of our Practice Nurses and, if necessary, we will write to you to come in to see a Nurse or GP.
  • If you are currently registered with another Practice in Teignmouth or Chudleigh and wish to transfer to our Practice, you will be asked to complete a form to give brief details of the reason you want to change surgeries before we can accept you as a patient.
  • If you wish, we can send you the forms for you to fill in at home. You can then send them back to us or drop them in.
  • On line!

If you do not know your National Health number or have lost your medical card, do not worry.

Remember, in our practice, you can see any practice doctor, not just the one you are registered with.

ON LINE REGISTRATION

Please note details are sent by unencrypted email. On receipt of your completed application, we will contact you to organise a new patient check. Please fill out the following form. It is quite long, so have a look through first to make sure you have all the information to hand.

Title: 

Surname:

First names:

Previous surname/s:

Date of birth: 

Town and country of birth:
 

Address:

Postcode:

Telephone number:

Email address:

Please help us trace your previous medical records by providing the following information.

Your previous address in the UK:

Name of previous doctor while at that address:

Address of previous doctor:

If you are from abroad.

Your first UK address where registered with a GP:

If previously resident in UK, date of leaving:

Date you first came to live in UK:

If you are returning from the Armed Forces.

Address before enlisting:

Service Personnel number:  

Enlistment date:                  

NHS Organ Donor registration.

I would like to join the NHS Organ Donor Register as someone whose organs may be used for transplantation after my death. Please tick as appropriate.

Kidneys
Heart
Liver
Corneas
Lungs
Pancreas
Any part

We would now like you to fill in our New Patient Questionnaire

Height: 

Weight:

Occupation:

Marital Status:

Past medical history, operations, illnesses + dates.

Current medication:

Allergies:

Children's Vaccinations.

1st DIP/HIB/POLIO (2 months).
1st DIP/HIB/POLIO (3 months).
1st DIP/HIB/POLIO (4 months).
MMR (12-14 months).
Pre school booster (4-5 years).
MMR booster (4-5 years).
BCG (12-13 years).
TET/DIP/Polio booster (14-15 years).

Adults. When was your last tetanus vaccination?

Women only.

Have you had a hysterectomy?

When was your last smear? What was the result?

Can we help you with contraception?

Do you have a family history of -

Heart disease.
Strokes.
Diabetes
Asthma.

If any are yes, please give some details, which relative, age, ?died.

Smoking?

How many of the following do you drink per week?

Pints beer? Measures spirit? Glasses wine?

Diet. Tick which of the following you eat regularly (at least twice a week).

Fruit, veg
High fibre cereals
Fish, Chicken
Semi skimmed milk
Pasta, wholemeal bread
Low fat spread
Added sugar
Cake, pastry, biscuits
Crisps, nuts
Red meat
Fried food
Butter, cream

Do you take exercise? Answer yes if you do enough exercise at least 3 times per week to get short of breath for 30 minutes.

Thank you.

 

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Send mail to enquires.channelview@nhs.net ONLY for general correspondence.  For repeat prescriptions
                                                                                                      use the links on the Repeat Prescriptions page.
Last modified: September 28, 2005