Telephone: 0208 519 9914

Child Registration Form

Please send your 1st Page of the Red Book (If under 5) or Photo ID and list of immunisations to nelondonicb.LTSregistrations@nhs.net

  • Your Contact Details

  • DD slash MM slash YYYY

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

  • If you are from abroad

  • Were you ever registered with an Armed Forces GP

  • DD slash MM slash YYYY
  • MM slash DD slash YYYY
  • Footnote: These questions are optional and your answers will not affect your entitlement to register or receive services from the NHS but may improve access to some NHS priority and service charities services.

  • Information About You

  • Medical Information

    Please tick as appropriate

Date published: 06/10/2020
Date last updated: 24/01/2024