Larne Family Practice New Patient Registration

NPR Larne Family Medical Practice

Guidance Notes

WHY YOU NEED TO COMPLETE THIS FORM

If you have recently moved to Northern Ireland from Great Britain, and wish to register with a GP or
are transferring internally from another GP Practice within Northern Ireland, you need to complete this form and provide the relevant supporting documentation.

APPLICANTS REQUIRED TO COMPLETE THIS FORM

This form must be completed by or on behalf of all applicants (except those referred to below*)
wishing to transfer their registration from a GP in Great Britain or another GP Practice within Northern Ireland.

*Applicants not required to complete this form

  • Persons taking up Ordinary Residence in Northern Ireland who are not currently registered with a GP in Great Britain or Northern Ireland; (HSC-R1)
  • Visitors to Northern Ireland who are not currently registered with a GP in Great Britain or
    Northern Ireland; (HSC-R1)
  • Holders of an Infant Registration Form (HS123) issued by the Registrar of Births when a birth
    is registered.

COMPLETING THIS FORM

All applicants must complete this form, sign the declaration and provide supporting documentation to the Practice.

HOW WE USE YOUR INFORMATION

The Business Services Organisation is a Data Controller under the General Data Protection Regulation (GDPR). We hold information for the purposes specified in our Privacy notice and these are also outlined in our notification to the Information Commissioner. We may get information about you from statutory agencies,
as may be appropriate or we may give information to them but only be as the law permits and/or to:

  • check the accuracy of the information provided;
  • to determine eligibility to register with a GP in Northern Ireland;
  • prevent or detect crime;
  • protect public funds.

Details of our Privacy Notice can be found at:
http://www.hscbusiness.hscni.net/services/2953.htm or by contacting us using the details below.
If you require assistance or have any queries about this form please contact:
Medical Registration
Business Services Organisation
Tel: 0300 555 0113

Are you Ordinarily Resident in Northern Ireland? Persons coming to Northern Ireland to live are required to meet the ‘Ordinarily Resident Test’ in Northern Ireland, i.e. you must be lawfully residing in Northern Ireland and have an identifiable and settled purpose here. To satisfy this test you must have indefinite leave to remain in the United Kingdom (UK), and provide proof of your settled purpose e.g. to work, and confirmation of your Northern Ireland address.
Please confirm

Please note that we will not respond to any medical information or questions received via this form.

The information you supply us will be used lawfully, in accordance with the Data Protection legislation and GDPR.

Please note that by using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of communicating with the practice.

Are my details secure?

The internet is not a secure place, however, we have gone to great lengths to make sure the information you submit to us is as secure as possible.

This website runs within a secured connection (256-bit SSL). So any information entered into the system is transmitted in encrypted form (you will see the little lock symbol in your browser address bar to confirm this). Details are transferred to your practice via a TLS-encrypted connection to the NHS email system.

Other Notes:

All fields marked with * are mandatory.

Larne Family Practice

Larne Health Centre
Gloucester Avenue
Larne
BT40 1PB
Telephone: 028 2826 1910
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