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

Registration Form - Adults (18 +)

Registration Form - Children (17 and under)

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