New patient additional information

Use this service to provide additional new patient information to support your registration.

You can use this service if you:

• are registered at the surgery
• have been requested to do so

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on Brecon, Ty Henry Vaughan 01874 622121 or Sennybridge Health Centre 01874 636559.