Applying to Register as a Patient
February 2023: Exciting News- We have now changed our practice boundary - We are now able to accept applications from those living in HU10 postcodes - including Anlaby and Anlaby Common HU4 up to the Hull City Council boundary as well as HU14 Swanland parish addresses.
We still have a limit on how many new patients we can accept in any one week.
That is because our list is open but we need to ensure safe expansion within our ability to offer primary care services.
You will need to attend at the Practice to request and return a registration form. Each patient over the age of 16 years must provide 2 forms of ID in person.
We do not keep a waiting list nor do we attempt to prioritise based on any other conditions (medical or otherwise).
The only fair process we operate is on a first-come-first served basis - and although we have expanded the number of applications per week it is still limited.
What We Offer
MENU SELECTION
If you have moved into the practice boundary you may wish to apply to register as patient with Willerby and Swanland Surgery. You can do this by completing our Patient Application Form including a GMS1 Form - and handing this in to our Reception - one form per person seeking to register.
You can view, complete and print the Patient Application Form from here (see below) - please be sure to fill in all the pages. - Currently this service is suspended - you need to call in in person.
Additionally - please also complete the patient Medical Form which will be needed if you are accepted on our patient list. Currently this service is suspended - you need to call in in person
If you are on regular medication from your current surgery - please make sure you have at least a month's supply before applying to register with us - and also that, if possible, you provide us with a current copy of your repeat prescription.
You can fill each of these form in on your computer - however you must print each form out, add your signature and bring in person with relevant proofs of address and identification. Currently this service is suspended - you need to call in in person.
Click each on each form to download (you can complete on screen but you must print and sign the forms)
NEW PATIENT APPLICATION VJan2019
Currently this service is suspended - you need to call in in person.
Please also download and complete the new patient medical form
NP MEDICAL FORM VJan2019
Currently this service is suspended - you need to call in in person.
Please complete a full set of forms for each person asking to register - including children.
When you hand in the forms, the receptionist will check the contents but will not be able to tell you that you have been accepted - that will be reviewed by the Health Promotion officer. If there are any issues with your application he/she will advise you in due course. Please allow up to 5 days for the process to be reviewed/completed.
Tips when completing the form .......
When you provide your proofs of your identity (photo-licence/passport etc) and address (utility bill/bank statement etc) we will also be able to use these to create your on-line access account.
Important - please take care when choosing to exercise your right to opt-out of information sharing - choosing to opt-out may mean we cannot treat you as a patient, please therefore speak to the practice for more information if you are in any way unsure.
Additionally, if you are on any regular medication you will need to see one of our doctor's before you can receive any prescriptions from us - so please ensure you have at least 4 weeks supply of your current medication from your existing practice before you are registered - and where possible please provide us with an up-to-date repeat prescription order slip.
Check you live within our practice boundary
Not all HU10 nor HU4 postcode addresses are included in our practice boundary (for example we do not cover Willerby Low Road / Riplingham Road east of the A164 / Haggs Lane etc and we do not cover HU4 Hull addresses). HU4 generally means Anlaby with Anlaby Common
For a list of street names we cover in the HU10 and the parts of HU4 area please click here
For a list of street names we cover in HU14 Swanland please click here
You can also see below a map of Swanland parish boundary - please be aware this is for information and the street list is the definitive arbiter (up-to-date as at end JULY 2022)
You can also see below a map of HU10 / HU4 postcode streets - but please be aware this is for information and the street list is the definitive arbiter (up-to-date as at MARCH 2023)
Please also have a look at our patient charter - a list of rights and responsibilities
We encourage everybody to understand that with rights come responsibilities - and this list will help you understand your role in maintaining your own health and our ability to help you.
Swanland Parish Boundary
HU10 and HU4 postcode boundary - for information only
Map data is not sufficiently accurate and is offered as a guide - the definitive list of streets is available here
