Seymour House and Lock Road Surgeries

154 Sheen Road, Richmond, Surrey, TW9 1UU and 55a Lock Road Ham TW10 7LJ

Current time is 17:19 - We're open

Telephone: Seymour House Surgery Richmond 0208 940 2802/ 0208 940 3228 Lock Road 0208 940 1400/940 8922

Fax: Seymour House 0208 332 7877 Lock Road 0208 332 7797

Out of Hours: 111

Online Registration

Patient details
Title*
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
NHS Number
First Names*
Birth Town*
Surname*
Birth Country*
Current Address and Postcode*
Telephone*
Mobile*
Email Address*
Please help us trace your previous medical records by providing the following information
Have you previously been registered with an NHS GP in UK?*
- Yes
- No
Name of Previous GP*
Address of Previous GP*
Your Previous Address
This is usually the address when you were last registered with a GP
Your first UK address*
Date you first came to UK
Date Format: DD slash MM slash YYYY
Are you returning from the Armed Forces?*
- Yes
- No
Please indicate if you have ever served in the UK Armed Forces and/or been registered with a Ministry of Defence GP in the UK or overseas*
- Regular
- Reservist
- Family Member
Address and Postcode before enlisting*
Service or Personnel Number*
Enlistment date*
If you need a doctor to dispense medicines and appliances
Please note: Not all doctors are authorised to dispense medicines
Nearest Chemist
- I live more than 1 mile in a straight line from the nearest chemist
Chemist Difficulty
- I would have serious difficulty in getting them from a chemist
Signatures
Signatures*
- Patient's signature
- Signature on behalf of patient
Consent
I agree for the Practice to contact me using the details provided above.
Electronic Signature (Type your full name here)*
By completing the section above, I hereby sign this form electronically
NHS Organ Donor Registration
Would you like to join the NHS Organ Donor Register?*
- Yes
- No
- Already on it
I want to register my details on the NHS Organ Donor Register as someone whose organs/tissue may be used for transplantation after my death.*
- Any of my organs and tissue
- Kidneys
- Heart
- Liver
- Corneas
- Lungs
- Pancreas
NHS Blood Donor Registration
Would you like to join the NHS Blood Donor Register?*
- Yes
- No
- Already on it
Tick here if you have given blood in the last 3 years
- I have given blood in the last 3 years
My preferred address for donation is:
Comments
This field is for validation purposes and should be left unchanged.

Please note that if you have never been registered on the NHS in the UK, you must complete all sections of the registration form.

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Friends & Family Test

Influenza Vaccinations 2020

Flu immunisations 2020 for those 65 years* or over, or in a clinical risk group

Saturday morning clinics will be held at the Seymour House surgery on the following Saturdays in October – 3^rd, 10^th, 17^th, 24^th and 31^st.

Appointments are available from 8 am – 11 am.

These clinics are for flu immunisations ONLY

We are also running clinics throughout the working week at both Seymour House and Lock Road surgeries

Please telephone your USUAL surgery to arrange an appointment

Please note that the Government directive is that that people in the 50 – 64 year old age group will NOT be vaccinated until November and December, providing there is sufficient vaccine, and no appointments will be offered for this age group until then. This is to ensure that those who are most at risk are vaccinated first.

* or will turn 65 years old by the 31^st March 2021

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Opening Times

Monday
08:30 until 18:30
Tuesday
08:30 until 18:30
Wednesday
08:30 until 18:30
Thursday
08:30 until 18:30
Friday
08:30 until 18:30
Saturday
CLOSED
Sunday
CLOSED

Useful Links

Seymour House and Lock Road Surgeries

Online Registration

Patient details

Please help us trace your previous medical records by providing the following information

If you need a doctor to dispense medicines and appliances

Signatures

NHS Organ Donor Registration

NHS Blood Donor Registration

Opening Times

Useful Links

Join our Patient Participation Group

Friends & Family Test