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  • 01279 638520
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Church Langley Medical Practice Providing NHS services
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Home > New Patient Registration

New Patient Registration

New Patient Registration 

To register at the practice you must have a permanent address within the Practice Area. You can now register online using the link below:

Register online to join the surgery

Use the link below to check your NHS number.

 Find your NHS number - NHS

If you cannot register online visit the surgery and the receptionist will assist you to register. You can download the registration forms below.

  • New patient registration form for an ADULT (PDF, 480KB)
  • New patient registration form for a CHILD (PDF, 173KB)
  • PRF1 Registration Form
  • Summary Care Record Leaflet (PDF, 157MB)
  • Summary Care Record Opt-Out Form (PDF, 182KB)

Information about accountable named GP

Temporary Registration

If you are ill while away from home or if you are not registered with a doctor but need to see one you can receive emergency treatment from the local GP practice for 14 days. After 14 days you will need to register as a temporary or permanent patient.

You can be registered as a temporary patient for up to three months. This will allow you to be on the local practice list and still remain a patient of your permanent GP. After three months you will have to register again as a temporary patient or permanently register with that practice.

To register as a temporary patient simply fill in the temporary registration form below and contact the practice. We do not have to accept you as a temporary patient although we have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

The temporary registration form can be downloaded below:

Temporary Registration (GMS3) Form

The NHS App

Once you are registered at the surgery you can download and register to use the NHS app. This allows you to book certain types of appointments, order repeat medications, get health related advice, view your medical record and more. To download this app please visit www.nhs.uk/nhsapp

Last Updated 21 May 2025

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Church Langley Medical Practice

Church Langley Way, Harlow, Essex, CM17 9TG

  • 01279 638520
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Local Services
Residential/
Nursing Care Jobs
Physio
Financial
Protection
Residential/
Nursing Care
Advertise Your
Business Here