To register with us - see the New Patients icon top right of this screen - fill in the form and email it to us at  

Please use E:Consult to arrange a call with a Doctor, Nurse, to order a Fit Note and any other query.  During COVID we cannot allow anyone into our practice without an appointment.   If you are asked to come here, please where a face covering to protect you and our staff.  Thank you.

Online 'Pre-Registration' With The Practice


Please complete the relevant form(s) below and either email us at or post to us

58 Poplar Road

Kings Heath

Birmingham B14 7AG

If you do not hear from us within 2 days of sending your form, please will you email or phone us and we will look into it for you.  Thank you

Adult Registration Form

Child Registration Form

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