Castletown Medical Centre Sandfield, Castletown, Isle of Man IM9 1EX

New Patients

Registering With Us

To register with the Practice please complete this online registration form & the New Patient Health Questionnaire (Our Documents Page).

Please contact reception to make an appointment to see the Practice Nurse for your New Patient Health Check.  You will be asked to bring a urine sample, a list of all your medication and ID to your appointment.

Register (GSM1)
Title:
Sex:
Address
Address
Postcode
City
Country

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

Your previous address in the UK
Your previous address in the UK
Postcode
City
Country
Address of previous doctor
Address of previous doctor
Postcode
City
Country

If you are from abroad:

Your first address where registered with a GP
Your first address where registered with a GP
Postcode
City
Country

If you are from the Armed Forces:

Address before enlisting
Address before enlisting
Postcode
City
Country

If registering a child under 5:

If you need your doctor to dispense medicines and appliances * :

* Not all doctors are authorised to dispense medicines.

NHS Organ Donor registration:

I would like to join the NHS Organ Donor Register as someone whose organs may be used for transplantation after my death.

Please tick as appropriate:
Or only my:

NHS Blood Donor registration

Emergency Contact

Address:
Address:
Postcode
City
Country