Teehey Lane Medical Centre

66-68 Teehey Lane, Higher Bebington, Merseyside, CH63 2JN

Current time is 09:06 - We're open

NHS

Telephone: 0151 608 2519

WICCG.gatekeeper-n85057@nhs.net

 Welcome to our new website for Teehey Lane Medical Centre – 

Online Pre-Registration

If you wish to pre-register click on the link below to open the form. When you have completed all of the details, click on the “Send” button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is an online version of this file too, which you may fill out and send to us. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.

Online Medical Questionnaire For New Patients

Alternatively you may print off a registration form, fill it out and bring it in with you on your first visit to the practice.

 

Registration Form

New Patient Health Questionnaire

Patient health check
  • DD slash MM slash YYYY
  • Please enter name and relationship
  • Next of Kin

  • Alcohol Usage

    Scoring: a total of 5+ indicates hazardous or harmful drinking
  • Family History

  • Medical History

  • Females Only

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.