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Registering with Moulsham Lodge Surgery

How to register:

We have an open list and welcome requests for registration from patients living in or moving to the practice area.

Our primary practice area covers the Moulsham Lodge and Tile Kiln Estates. If you are unsure if your address is covered by the practice please ask our friendly reception staff.

You can register by bringing along your NHS medical card (if you have one) and by completing our registration pack available from reception or by downloading it in PDF format from this site (see below).

Please read the new patient registration instructions which will assist you to complete the forms correctly and in full. Incomplete forms may delay the registration process.

Each person registering must complete a GMS1 patient registration form; patients over 16 years of age must also complete the initial health check form; there is a separate registration pack for any household members under 16.

The registration pack contains details of how to access our online services and join our Patient Participation Group (PPG).

You will have a named, accountable doctor who is responsible for coordinating your care. You can still talk to or make appointments to see any of our doctors or nurses, not just your named GP.

For more information about the services we offer please click on the link below to view or download our Practice Booklet;

When registering, you will need to provide proof of residency e.g. a utility bill, a solicitor’s letter or a rent book will suffice (we need to see original documents please) – NOTE driving licenses are not acceptable as proof of residency.

New patients arriving from overseas will also need to produce their passport and any relevant visas in addition to the previously mentioned proof of residency.

Completed forms should be brought to the surgery where they will usually be processed within 2 working days.

We will not refuse an application on the basis of race, gender, age, sexual orientation, social class, religion, disability or medical condition. We will however refuse applications made by those living outside our practice area.

Complete Over 16s Registration Pack V4 May 2018


When your registration is complete you will be invited to make an appointment for an initial health check. This will be a 30 minute appointment with a nurse or healthcare assistant. You will need to bring a urine sample to this appointment.

Updating your details

If you change name, address, home or mobile telephone number or email address, please let our receptionists know by calling or writing to us. If you move outside the practice area you will need to find a doctor in your new area. There are instructions on what to do when you move to a new area on the back of your NHS medical card.

Complaints policy

We take complaints very seriously. If you would like to make a complaint regarding the surgery or the services we offer, please contact the Practice Manager by telephone or, if you prefer, in writing or e-mail. Please ask at reception for a copy of our policy document or click on the links below.

All complaints will be handled in the strictest confidence and every effort will be made to answer your concerns as soon as possible.




Carrie McSpadden, Practice Manager
Moulsham Lodge Surgery
158 Gloucester Avenue

01245 353182 option 5

Violent or abusive behaviour

We take seriously any threatening, abusive or violent behaviour against any of our staff or patients. If a patient is violent or abusive, they will be warned to stop their behaviour and we may call the police. If the behaviour persists, we may exercise our right to take action to have them removed, immediately if necessary, from our list of patients.

Access to medical records

The practice is registered and complies with the General Data Protection Regulation which comes into effect on 25/5/18. Any request for access to notes by a patient, patient’s representative or outside body will be dealt with in accordance with the Regulation. Please contact reception for further information.  The information will be provided within one month from receipt of a completed application form.  You will need to bring photo ID with you when collecting your printed record from the practice.  Similarly, if you have nominated a third party to act on your behalf, they will need to bring photo ID when collecting your printed records.

Blood group

Your blood group is not routinely held on your records unless other health care professionals have advised it. Routine screening for blood type is not carried out at the surgery.

Have you considered becoming a blood donor? Your blood group will be automatically checked and you could help save lives.

Please click on the link below for further information.

Blood Donor A4 leaflet

Patient confidentiality

As a result of the new General Data Protection Regulation that comes into effect on 25/5/18, we have updated our policies and procedures.

You will notice there are privacy notices displayed in reception for adults and children which shows how and why we keep your data, and who this is shared with.   A copy of these can be found below.

Privacy Notice – Patients

Privacy Notice – Children

If you would like to read more about this, please see our Fair Processing Notice below.

Practice Fair Processing Privacy Notice

We respect your right to privacy and keep all your health information confidential and secure. It is important that the NHS keeps accurate and up-to-date records about your health and treatment so that those treating you can give you the best possible care.

You have the right to know what information we hold about you. If you would like to see your records please contact Reception for an Access to Records form.  Alternatively, this can be requested by email to

Patient rights and responsibilities

We aim to treat our patients courteously at all times and expect our patients to treat our staff in a similarly respectful way. It is your responsibility to keep your appointments, inform us of your past illnesses, medication, hospital admissions and any other relevant details.

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