Upload Identity Documents - Albion Street Group Practice

Upload photo identification

As part of the New Patient Registration and registering for Online Services please upload:

1.Proof of Photo Identification (passport, driving license or birth certificate)

2.The right hand side of your prescription from your previous practice. This is only required if you are on repeated medication(s)

You can upload copies of your identity with the form below. If you prefer to submit your documents in person please speak to the reception team.

Please allow 5 working days before your registration will be complete and speak to the practice to confirm your registration. Please ensure that you have enough medication from your old surgery, so that you do not run out whilst waiting to register with us.

First Names

Last Name

Enter Email Confirm Email

Date of Birth

Document(s) to Upload

Drop files here or

Max. file size: 50 MB.

I consent to the practice collecting and storing my data from this form.

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data. The internet is not a secure place, however, we have gone to great steps in making sure the information you submit to us is as secure as possible. We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our web server. If you are not completely happy to provide information via the internet please contact the practice directly.

Email Optional

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