Cleland Park Registration form

Please check with the Receptionist that you have completed the correct forms and completed them in full.

There are very strict guidelines as set by the Health and Social Care Board for Northern Ireland on the acceptance of new patients in Practice. You maybe asked to provide more information to the Practice to support your residential status and/or work status by the Health Board.

FORM HS 200  - complete this form if you wish to register with the practice but cannot find your medical card

FORM HS 100 - complete this form if you wish to apply to the Business Service Organisation for a replacement medical card

FORM HS22X - complete this form if you are not a UK resident or if you are returning to the UK after a period of living outside the EU

FORM GMF 154 Adult name change form

FORM GMF 153 Child name change form


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