The Vitality Partnership

Welcome to the Vitality Partnership

The Vitality Partnership provides the highest quality integrated primary and specialist care delivered by a dedicated team of GPs, Nurses and Specialist clinicians in the heart of the local community.

We have the expertise to manage complex medical problems via our team of specialist nurses, GP's and Consultants working in the community to deliver outstanding medical care.

Once you register with one Vitality practice you access expertise across the whole organisation. This means that you can use any of our services without delay.

“The Vitality Partnership prides itself on delivering exceptional integrated care to its patients across the central Birmingham area”

Dr Ben Empson (GP - Partner)

Our values:

High quality of care for patients
Good access to care
Patients able to manage their own health better
Exceptional customer focus
Working with specialist care partners
Training and developing exceptional health professionals of the future
Multi-agency working to protect vulnerable patients

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Locations

Find a Vitality GP

Secure Staff Area

Print Download

Family Doctor Registration Form

GMS1

Patient Details

Date of Birth

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

If you are from abroad

If you are returning from the Armed Forces

Title

Surname

First Name

Sex

Town of Birth

Country of Birth

Home Address

Postcode

Telephone Number

NHS Number

Previous Surname/s

Your Previous address in the UK

Name of previous Doctor while at this address

Address of previous Doctor

Last country of residence address

date of entry into UK

If previously a UK resident, your date of leaving

Address before Enlisting

Service or Personnel Number

Enlistment Date

I wish the child above to be registered with the Doctor for Child Health Surveillance

I am the patient above

I am registering on behalf of the person named above

Date of Application

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Use this area to search for your nearest Vitality GP Outlet. Click the X (top right) to close this window.

How Do I.… Register With The Practice?

All patients applying to register with the practice must provide evidence of entitlement to NHS treatment.

Where a prospective patient is entitled to receive NHS care, a registration form must be completed.

You can download a GMS1 form OR you can complete online HERE.

You will be asked to complete a short health questionnaire when you apply online or arrive at the surgery.

You are required to book a registration medical appointment either by telephoning the practice you are registered to or by attending the practice. On the day of your registration medical you will need to bring an early morning urine sample.

If you wish to be registered at a Vitality practice please provide the following :-

• Complete and sign the purple GMS1 application form

• Complete the medical questionnaire and the patient profile

• If female provide a copy of your latest cervical smear test

• If registering a child, we will need a copy of the vaccinations page of the child’s Red Book at your first visit.

• Copies of a UK passport or photo driving licence or valid NHS medical card

Additionally, if you are NOT a British citizen you must provide :-

• A copy of your valid national passport and evidence of your right to remain in the UK

• Proof that you have been in the UK for 6 months or over (utility bill addressed to you and older than 6 months) or that you have the right to remain.

• Proof of address (e.g. letter from Home Office addressed to you)

• Proof of full time work or full time education

If you are an ASYLUM SEEKER you must provide :-

• An HC2 form

• Your identity card provided by the Home Office

When you have completed ALL of the above please make an appointment for a Registration Medical. If you bring the originals of the above documents we will make the photocopies.

If any of the above has not been done you will NOT be allowed to register and any treatment can only be given as a private paying patient. If you CANNOT SPEAK ENGLISH please bring someone with you who can TRANSLATE.

Download HERE