New patient additional information

Use this service to to provide additional information to support your registration.

You can use this service if you:

• are registering at the surgery
• have been invited to do so

Before you start

We’ll ask you for:

• your first and last name, date of birth, sex, postcode, email and phone number
• if applicable, the details of the person you are completing the form on behalf of

Start now

You can also phone us on Pengorof Surgery 01639 843221 or Ystalyfera Surgery 01639 843251 or Abercrave Surgery 01639 730225.