Hartland Way Surgery

1 Hartland Way, Shirley, Croydon, CR0 8RG

Telephone: 020 8777 7215

swlicb.receptionhartlandwaysurgery@nhs.net

We're open

Children New Patient Registration

Please fill out the below form to register your child with the surgery.

Please note we can only register children if a parent or guardian is registered with the Practice.

Please take a look at our helpful guide on children vaccinations which is held in our patient information tab on the home page.

Children Online Registration

Children Online Registration

Please only complete this registration form once. If you have previously submitted this form at any time please do not do so again unless advised by Hartland Way to do so. Please do not use this form to update your address or other details.
Child's Name(Required)
Parent 1 Full Name
Parent 2 Full Name
MM slash DD slash YYYY
Child's Gender
Address(Required)

It is your responsibility to keep the practice updated with any changes in your telephone number, email and postal address. We may contact you with appointment details, test results, health campaigns or Patient Participation details

May we contact you using email?
May we contact you using SMS text?
Max. file size: 128 MB.

Electronic Prescribing

Name
This field is for validation purposes and should be left unchanged.

Opening Times

  • Monday
    08:00am to 06:30pm
  • Tuesday
    08:00am to 07:00pm
  • Wednesday
    08:00am to 06:30pm
  • Thursday
    08:00am to 07:00pm
  • Friday
    08:00am to 06:30pm
  • Saturday
    CLOSED
  • Sunday
    CLOSED
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