Hampton Hill Medical Centre

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

Telephone: 020 8977 0043

We're open

Registration Forms

If you wish to register with us, please fill out the below Registration Form.

Click on the link below to open the Registration Form. When you have completed all of the details, click on the “Send” button to mail your form to us.

PATIENT REGISTRATION FORM

Do you consent to being contacted by Hampton Hill Medical Centre via email and/or SMS?
Have you previously been registered with an NHS GP in the UK?(Required)
Are you currently a Refugee in the UK?
Are you returning from the Armed Forces?
Are you a Carer?
Do you have a Carer?
Have you ever smoked?
Max. file size: 63 MB.
This field is for validation purposes and should be left unchanged.

Opening Times

  • Monday
    08:30am to 06:30pm
  • Tuesday
    08:30am to 06:30pm
  • Wednesday
    08:30am to 06:30pm
  • Thursday
    08:30am to 06:30pm
  • Friday
    08:30am to 06:30pm
  • Saturday
    CLOSED
  • Sunday
    CLOSED
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