If you wish to register click on the link below to open the form. When you have completed all of the details, click on the "Submit" button to mail your form to us. Please then email to st.agnes@nhs.net the relevant New Patient Health Questionnaire and Online Service Agreement if required. When you visit the surgery for the first time you will be asked to show us some identification such as a driving licence or passport.

We accept patients from the St Agnes and surrounding areas including Mount Hawke, Porthtowan, Blackwater and Perranporth. Our practice area is shown on the map opposite.

Please complete all the relevant forms below and bring them into the surgery with a form of ID; this can be a driving licence or passport. We need to see anyone over the age of 16 with their ID.

Should you wish to make appointments or order repeat medication online, please could you also complete the online services application form.

New Patient Health Questionnaire - Adults

New Patient Health Questionnaire - Child

New Patient Health Questionnaire - Newborn (up to 2 months)

Access to Online Service Agreement - Over 16 years

Proxy Access to Online Service Agreement - Under 16 years

Accessing Online Services Leaflet

You may also download our Large Print Practice Leaflet here.

If you are ill while away from home under COVID guidance you are advised to contact your own practice in the first instance as all practices are able to send prescriptions to the area you are staying and telephone/video consultations.  You may also be directed to NHS 111 who will then refer you through to our practice.

To register as a temporary patient simply contact the local practice you wish to use. Practices do not have to accept you as a temporary patient although they do have an obligation to offer emergency treatment. You cannot register as a temporary patient at a practice in the town or area where you are already registered.

These fact sheets have been written to explain the role of UK health services, the National Health Service (NHS), to newly-arrived individuals seeking asylum. They cover issues such as the role of GPs, their function as gatekeepers to the health services, how to register and how to access emergency services.

Special care has been taken to ensure that information is given in clear language, and the content and style has been tested with user groups.

Open the leaflets in one of the following languages:

English	Farsi	Urdu
Albanian	Bengali	Hindi
Arabic	Croatian	Lithuanian
Bulgarian	Punjabi	Polish
Chinese (Cantonese)	Somali	Portuguese
Chinese (Mandarin)	Gujerati	Spanish
Russian	Turkish	French

All clinical areas and toilets are easily accessible for the disabled

There is ample car parking available with spaces for disabled patients to park (but only for parking whilst using the surgery please!).

Please let us know as soon as possible of any changes to your personal details (i.e. name, address, contact numbers) to enable us to keep our records up to date.

You may use the online form here to notify us of any changes. Alternatively please pick up a paper form at the practice. You need to make sure all members of the family are included on the form.