If you would like to register as a new patient then please fill out our online registration form.

Alternatively, please print off and complete the following forms and then post or email them to us:

PATIENT REGISTRATION FORM FOR ADULTS

PATIENT MEDICAL QUESTIONNAIRE FOR ADULTS

PATIENT REGISTRATION FORM FOR UNDER 15 YEARS

PATIENT MEDICAL QUESTIONNAIRE FOR UNDER 15 YEARS

Please contact the practice on 020 7373 3541 to book an appointment. We will take note of your credit card details in order to complete the registration process and secure your first booking.

Please note: If you are a student, please ensure you bring the following with you;

Boston University – HTH/Geoblue

• You MUST show a valid ID card

Ithaca College – United Healthcare Global

• You will need a Guarantee of Payment (GOP) BEFORE your appointment.

We welcome all feedback and comments – both good and bad. Please email them to enquiries@courtfieldpp.co.uk.

PRACTICE COMPLAINTS PROCEDURE

We hope that you will always be satisfied with the quality of service provided at Courtfield. If however, you are you are unhappy with the service you have received please let us know. We aim to learn from your feedback and make changes to improve our service further.

Complaints process

Stage 1: Informal stage: Speak to a member of staff

If you are unhappy with the service you have received, please raise your concern with a member of the reception team. We aim to work with you to resolve your complaint at the time of your first contact.

Stage 2: Report to the Practice Manager

If we are unable to resolve your concern, at Stage 1, then please contact our Practice Manager Reshma Rughooputh either by email at reshma@courtfieldpp.co.uk or directly in writing.

We will acknowledge your concern within one working day and contact you to discuss this further, including the time frame within which you should expect to receive a written response.

This will be as soon as possible but certainly within 28 working days of receipt of your concern. If the matter is more complex, it may occasionally take longer.

Stage 3: Right to appeal

If you are still unsatisfied with our response you should appeal to the Chief Executive Officer of the Independent Doctors Federation who will consider your complaint further.

Please put your complaint in writing to:

IDF CEO
The Medical Society of London
Lettsom House
11 Chandos St
Marylebone
London
W1G 9EB