Hampton Hill Medical Centre

94-102 High Street, Hampton Hill, Hampton, Middlesex, TW12 1NY

It's Thursday 1:07 AM — Sorry, we're closed

Telephone: 020 8977 0043

Fax: 020 8977 8691

Out of Hours: 111

Online Pre-Registration

If you wish to register online, please fill out BOTH forms. You will ADDITIONALLY need to bring in photo ID and a recent (within 3 months) proof of address. Without all this information, you will not be registered.

Click on the link below to open the first form. When you have completed all of the details, click on the “Send” button to mail your form to us. When you visit the surgery for the first time you will be asked to sign the form to confirm that the details are correct.

New Patients Registration Form

You are also required to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. Click on the link below to open the second form. Again, click on the “Send” button when completed. When you come to the surgery you will be asked to sign this form to confirm that the details are correct.