New Patient Registration


To request registration patients should live within the Practice catchment area (see Practice Area below) and are required to complete a registration form, a medical questionnaire and The Summary Care Record and Oxfordshire Care Summary which are available from reception or can be downloaded below. 


A separate registration form, medical questionnaire and The Summary Care Record and Oxfordshire Care Summary will need to be completed for all adults.  The questionnaire is essential because it can take a considerable time for us to receive your medical records.  Once completed please bring the forms into the surgery or alternately you can send them by post.  


If you are already on a repeat prescription it would be very helpful for us to have a copy of your repeat prescription form when you register.  


Every patient (including children) who is registered at Charlbury Medical Centre will be allocated a named GP. For continuity of care we encourage you to see your named GP each time you come to the surgery. There will be times, however, when he/she is not available to see you and when this happens we will provide an explanation and offer you an appointment with another GP.


As currently the only clinical partner, all new patients are initially registered with Dr Brookes-White then after a few weeks you will be registered with the doctor who will be your usual "named GP".



Out of Area Patients



You are able to register with the Practice if you are outside the Practice catchment area (subject to the Practice Managers decision) but you will not be entitled to home visits by your Doctor.  If you do wish to register as an out of area patient in addition to the forms mentioned above you will also need to complete the Out of Area Patient form below.


General Information


If in the rare event after at least two consultations you are not happy with your allocated GP you may request a change.

You will need to be registered as a patient before you can be seen by a doctor or nurse at the Practice so, ideally, please bring in your completed forms before you require an appointment.

If you have any questions with regards to registering as a patient, then please ask one of our reception staff or ask to speak to Ms Karen Godfrey, Head of Registration.

Opening times for the Practice are 8:00am until 6:30pm Monday to Friday.



Practice Area


The Practice area includes the following towns/villages:


Charlbury, Finstock, Enstone,  Leafield, Ascot-under-Wychwood, Fawler, Ramsden and Stonesfield. 




New Patient Registration Form

New Adult Patient Questionnaire Form

Download New Child Patient Questionnaire

SG2 Form - Update of Imms Detail & GP Details for Child Health

Out of Area Patients (to be completed only by Out of Area Patients and submitted with the above forms)

Your Data Matters to the NHS


The Royal College of General Practitioners has produced a useful guide for patients about the services on offer at GP Surgeries and how to access them.  You can download the guide  below.


pdf A Patient Guide to GP Services

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