Melbourne Grove Medical Practice

We now call you back to clinically assess and treat you on a same-day basis.

Following guidance from the Department of Health, we have revamped our appointment system. For an appointment call 0208 299 0499.

For details click here.

Do you want to get involved in the changes we are making to give you a better service? Do you have an opinion on how we can improve? Then get involved in our Patient Participation Group. Click here to learn more...

Telephone

020 8299 0499

For Ears, Nose and Throat enquiries please call

020 7703 1153

Fax

020 8299 1954

24hr Cancellation Line

020 8299 9102

Post

Melbourne Grove Medical Practice
Melbourne Grove
East Dulwich
London SE22 8QN

Recommend Melbourne Grove to a Friend

We aim to provide our patients with the best possible care and service.

You can click here to read our policies here

We are currently accepting new patient registrations from certain postcode areas. To check if you live in our area please see our Registration page. To register with the practice online, please complete the form below. You may not need to fill in every section, but please give us as much information as possible. The sections marked with an * are mandatory, as without this information we cannot register you. If you wish to register your whole family with Parkside, please fill in one form per family member.

Title: *

First name: *

Last name: *

Previous last name:

Date of birth: *

Gender: *
Male
Female

Town and Country of birth: *

Current Address Line 1 *

Current Address Line 2 *

Postcode: *

Home telephone number: *

Mobile telephone number: *

Email Address:

To help us trace your medical records please provide the following information:

Previous address in the UK:

Name of previous doctor:

Address of previous doctor:

If you are from abroad:

If you are from abroad, you must complete all of the following fields as accurately as possible

What country are you from:

Date of arrival (day/month/year):

Your first address registered with a GP:

If previously registered in the UK, date of leaving:

Date of return to the UK:

If you are returning from the Armed Forces:

Address before enlisting:

Service or Personnel number:

Enlistment date:

If you are registering a child under 5:

I wish the child above to be registered for Child Health Surveillance

If you need your doctor to dispense medicines and appliances:

I live more than one mile ina straight line from the nearest chemist

I would have serious difficulty in getting them from a chemist

Not all doctors are authorised to dispense medications

NHS Blood Donor registration:

I would like to join the NHS Blood Donor Register as someone who may be contacted and would be prepared to donate blood

Tick here if you have given blod in the last 3 years

NHS Organ Donor registration:

Kidneys

Heart

Liver

Corneas

Lungs

Pancreas

Any part of my body

I would like to join the NHS Organ Donor Register as someone whose organs may be used for transplantation after my death

You will have to sign a copy of this form when you first come to the practice. For now, please indicate if you are completing this form for yourself or on behalf of another person:

I have completed this form for myself

Ethnicity of patient: *

Where did you hear about us? *

Friend's name:

Other - please specify: