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New Patient Registration DP

Dr Palacin Surgery are happy to accept applications to join the Practice list, if you reside within our Practice Boundary. Please ask at the reception desk for an application form or complete the forms below:

Download the PRF1 registration form

Download our New Patient Questionnaire (DOCX, 26KB)

Please bring the completed forms back to the surgery.

Alternatively you can now register with Dr Palacin Surgery online. 

Find your NHS number

Named Accountable GP information

Find out if you are within the catchment area for Dr. Palacin Surgery

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Shoebury Health Centre

Campfield Road, Shoeburyness, Southend-on-Sea, Essex, SS3 9BX

Dr Kumar & Dr Sinha Family Practice

Campfield Road, Shoeburyness, Southend-on-Sea, Essex, SS3 9BX

  • (01702) 987798
  • reception.f81613@nhs.net

Dr Palacin's Surgery

Shoebury Health Centre, Campfield Road, Shoeburyness, SS3 9BX

  • 01702 987777
  • drpalacin.surgery@nhs.net
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