Pre-Registration with the practice

If you wish to pre-register click on the link below to open the form. When you have completed all of the details, either e-mail/post or drop the form into us.

When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct
Note that by sending the form you will be transmitting information about your self across the Internet and although every effort is made to keep this information secure, no guarantee can be offered in this respect.

Please use the search function on the map below to ensure you live within the practice area before completing the registration form.

Please note that this is an approximate boundary only.  If you live close to the boundary you may fall outside the practice area. Please check with a member if staff.

If you wish to apply to be registered with the Practice, Please complete and print off the Registration Form below

New Patient Registration Consent Form

reception.z00075@gp.hscni.net

or post/drop in to

Grosvenor Road Surgery

216 Grosvenor Road

BELFASTBT12 5LT