New Patients

    Personal Details:

    Date of Birth:

    Select County:

    Gender *:

    Medical Details:

    Privacy Statement:

    All information provided is treated in the strictest confidence and processed in line with GDPR (General Data Protection Regulation) guidelines and The Data Protection Act 2018. We send SMS for practice updates and to confirm normal test results. We occasionally email with updated surgery information such as changes to opening hours and new services. We will not share your details or contact information with anyone for marketing purposes. Submission of this form does not mean that you are a registered patient of Lambay Family Practice. All registration forms are reviewed prior to acceptance.

    Are You Happy To Receive Text Messages?

    How Did You Hear About Us?

    Reason for registration with Lambay Family Practice

    This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.