College Green Medical Practice
New Patient Registration Form - Child
Background Details
(Stage 1 of 14)
Your Child Details
Full Name
NHS Number
NHS Number
Find NHS Number of the Child
Gender
Select a gender of the child
Male (including trans man)
Female (including trans woman)
Non-binary
Other (not listed)
Not Stated
Date of Birth (For example, 31 3 1980)
Contact Number (Telephone)
Address
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Save & continue later