Church Road Medical Practice

Higher Bebington Health Centre, 25 Brackenwood Road, Bebington, Merseyside, CH63 2LR

Current time is 03:38 - Sorry, we're currently closed. Please call NHS 111

NHS

Telephone: 0151 608 8889

WICCG.churchroadsurgery@nhs.net

Online Pre-Registration

If you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the “Send” button to mail your form to 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.

Pre-registration Form

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Online Medical Questionnaire For New Patients

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.

Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

Registration Form

Please also sign this Summary Care Record/Wirral Care Record Form to opt in or out sharing your medical records within the health service.

Information for New Patients about Summary Care Record