Out of Area Declaration Form

IMPORTANT INFORMATION FOR PATIENTS REGISTERED UNDER THE TERMS OF ‘OUT OF AREA’ ARRANGEMENTS

Last Updated: 05/02/2025

  • PATIENT INFORMATION & DECLARATION FORM

    At Oldham Family Practice we do aim to give our patients the best care, and most of our patients can access all of our services. We are aware that you live outside the practice area (catchment area), and as such this prevents us from offering you the Home Visiting Service.

     

    You may on occasion, develop an urgent illness or injury at home which means attending the GP surgery as normal would not be appropriate.  If you require urgent medical services whilst you are at home please contact the practice in the first instance. If we determine you need access to services local to where you live we may ask you to call NHS 111.

     

    NHS 111 may direct you to a service that has been established by NHS England for patients such as you. This local service could be a GP practice near to where you live, the local walk-in or urgent care centre. 

     

    In the event that your health requirements change, and it is that our professional opinion would be that it would be more clinically appropriate and practical for you to register with a GP practice nearer to your home to provide home visits or urgent appointments more conveniently, then the terms of this registration will change and you will be advised to register with a GP practice closer to home.

     

    Please sign the declaration overleaf if you agree to the terms listed above.

     

  • Patient Declaration

    I understand the terms and urgent care arrangements of this registration
    DATE
    For example, 15 3 1984
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