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.

We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our server. When you submit your information, it is safely transmitted over the web in an encrypted form and deciphered using the private key at its intended location.

Other Notes:

All fields marked with * are mandatory.

Grove Medical Centre

Windlass Place
London SE8 3QH
Telephone: 020 8692 1882

New Adult Female Patient Online Registration

Please note: Submission of this form alone does not confirm registration.

Grove Medical – New Patient Registration – Female

Preliminary Questions

Please answer these preliminary questions to allow us to structure the the form to only present questions relevant to you.