Online Forms

New Adult Patient Registration Form

Please download and complete both of the GMS1 family doctor services registration form & the the LTHCC Adult Patient Registration Form below. When completed please return it to Leicester Terrace health Care Centre.

 

New Child Patient Registration Forms

If you are registering a child at Leicester Terrace Health Care Centre please download and complete both the New Child Patient Registration Form, GMS1-family-doctor-services-registration-form and the Child Health Care Record forms below. Please return all forms to Leicester Terrace Health Care Centre as soon as possible. We will only accept a child if the parent/guardian is also registered with us.

Requests for certification of absence from the workplace relating to Covid-19

LTHCC Self Cert Covid19 Information.pdf