Name

Pre-Registration

Please contact us if you are considering registration
with the Sonning Common Health Centre

We are normally able to accept patients who live in
Sonning Common, Peppard, Kingwood, Kidmore End and the surrounding villages.
We also look after patients living in Emmer Green
and Caversham north of the Henley Road.

We are unable to register new patients who live more than 5 miles from the practice.
If you are not sure about your eligibility,
please fill in the form and we will let you know.

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	Please give the following details:
Family name:
First name:
Date of birth: (dd/mm/yyyy)
Address:
	The following information would be helpful but is entirely optional:
Phone no (home):
Phone no (work):
Mobile no:
E-mail address:

	Please tell us what you would like to do next. Choose one of the options:
	Please send me a leaflet and registration form ******* Contact us to discuss registering with the Health Centre Please do nothing for the moment. I'm still undecided
	*** Please state the number who wish to register >>>

	We regret that under NHS regulations we cannot complete your registration electronically. We will be in touch if you have requested a response and, once we receive the form, we will check the details and let you know if we are able to accept you into the practice.. You may also call the Health Centre on 0118 972 2188.