Thatcham Medical Practice
Registration Information Form
Following local Health Authority guidelines, we have to ask you for evidence of your identity and
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
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
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
Please state your date of return to the UK
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
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.