Thatcham Medical Practice

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					Thatcham Medical Practice

Registration Information Form

Following local Health Authority guidelines, we have to ask you for evidence of your identity and
your address.

Please provide two (2) original documents as evidence of your identity and address. They will
be photocopied and immediately returned to you.

    1. Passport - preferred as photographic ID
    2. A statement with your address from the following list :-
          Council Tax statement
          Medical card
          Driving licence - whole old style or both parts of the new style
          Local authority rent card
          Paid recent utility bills (not a mobile phone statement)
          Bank / building society statements
          NI number card
          Payslip or P45 notification
          Letter from Benefits Agency/ Benefit book/Signing on card
          Papers or covering letter from the Home Office

The following documents are not to be accepted as proof of identity if presented without
photographic identification:-
          Library card, video rental card, health club membership card, private rent book

If you are living with a family member in their home, please supply two documents for
your ID and one utility bill statement for their address.


Dependent children need only supply passports with relevant completed registration
forms.


Please state your date of return to the UK
or
Please state your date of entry to the UK

If you are an au pair, please provide a brief letter from your employer stating residence and
employment details.
If you wish to discuss this form,
please telephone 01635 – 867171, asking for Registrations in the Admin. Department.
Please call after 10am but before 5pm, Monday to Friday.

				
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posted:10/3/2012
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