Online forms can take up to 5 working days to be attended to, For anything urgent please telephone the surgery.
Cancel an Appointment Form
The practice have temporarily removed this form. Please contact the practice for further information.
New Registration Form
New Patient Questionnaire
Change of Personal Details Form
Self-registration form for maternity care
This form can either be printed and completed as a paper copy or edited as an electronic copy. Please complete the form as thoroughly as you can. Once completed an electronic copy can be sent securely to email@example.com or if you prefer it can be posted to us at:
c/o Wycombe Birth Centre,
Queen |Alexandra Road,
High Wycombe, Bucks. HP11 2TT
If you chose to post your registration form please follow this up with a phone call to ensure that we have received it; our number is 01494 425172 Monday – Friday 08:30 – 16:00.
If you have any further queries, please do not hesitate to contact the Community Midwives Office using the telephone number above.