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If you wish to register to be a patient with De Montfort Surgery click on the link below to open the form, print it out, fill it in and bring back to the surgery.

Patient Registration Form


N.B. Due the the large volume of registration forms we receive during certain months of the year, it takes us a little longer to process all the requests. Please be patient with us during these times.

You will be sent a text message confirming your registration is complete when it has been processed.

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