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Child new patient registration (0-16 years old)

Child New Patient Registration

Child’s Details

Title *
Please use this date format: DD/MM/YYYY.
Gender at birth: *
Is your gender different now from the gender you had at birth? *
Gender now: *

Previous Details

Please include postcode.

If you are from abroad

Registering with the NHS for the first time in the UK
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.

Parent or Guardian Details

Must be a registered patient at this practice and residing at the same address
To be added to child’s record
Any responses we send will go to this email address.

Contact Preferences

It is your responsibility to keep us updated with any changes to your child’s contact details or home address. If you do not wish to be contacted by SMS or Email, please make us aware.

Patient Details

Please specify the ethnic group you consider you belong to:
Do they need an interpreter?

Medical History

Does the child have any allergies or sensitivities?

Electronic Prescribing

Carer Information

At Linden Medical Group we recognise the vital roles both paid and unpaid carers play in supporting individuals in their daily lives.

Unpaid / Informal Carers – An unpaid carer is anyone, including children and adults, who looks after a family member, partner or friend who needs help because of their illness, frailty, disability, a mental health problem or an addiction and cannot cope without their support. The care they give is unpaid.

Paid / Occupational Carers – A paid carer is someone who provides care services, such as assistance with daily living activities or personal care and receives payment for their services.

Is your child a carer?

Northamptonshire Carers provide a wide range of support to unpaid carers of all ages, including:

  • Support groups and activities for carers
  • Carers support line for practical and/or emotional support
  • Young carer support
  • Carer assessments

Please visit the following website if you would like to register yourself as a carer with Northamptonshire Carers: www.northamptonshire-carers.org

Do they have a carer?