New Baby Registration Please complete the online form to register as a new patient. New Baby Registration Step 1 of 2 50% New Baby DetailsNHS Number Full Name Date of Birth Day Month Year GenderPlease SelectFemaleMaleAddress Street Address Address Line 2 City Post Code Town and Country of birth Contact NumberParent or Guardian DetailsMother or Guardian Contact NumberFather or Guardian Contact Number EthnicityThe Department of Health now requires us to record patient ethnicity. The UK is an increasingly diverse society. Information on ethnicity is important because of the need to take into account culture, religion and language in providing appropriate individual care. What is your ethnic group ? White – British White – Irish White – other Mixed – White and Black Caribbean Mixed – White and Black African Mixed – White and Asian Mixed – other mixed background Asian / Asian British – Indian Asian / Asian British – Pakistani Asian / Asian British – Bangladeshi Asian / Asian British – Any other Asian background Black / Black British – Caribbean Black / Black British – African Black / Black British – Any other black background Chinese Any other Not Stated Other (Please State) Religon C of E Optional Catholic Optional Other Christian Optional Buddhist Optional Hindu Optional Muslim Optional Sikh Optional Jewish Optional Jehovah’s Witness Optional No Religon Optional Other Optional Other (Please State) Other DetailsDo you consent to your GP Practice sharing your Child’s health record with other organisations who care for them? Yes No Do you consent to your GP Practice viewing your Child’s health record from other organisations that care for them? Yes No Do you consent to your child having an Enhanced Summary Care Record with Additional Information? Yes No New Baby Birth CertificateFile Drop files here or Select files Max. file size: 50 MB. Please upload your new baby’s birth certificate