Western Road Medical Centre

99 Western Road, Romford, Havering, RM1 3LS

It's Sunday 1:54 PMSorry, we're closed


Telephone: 01708 775300


New Patients

The doctors welcome new patients who live within our practice area.

New patients will be asked to complete a registration form and to provide information including photo ID, current utility bills, medical cards and confirmation of UK residency. Any new patients with ongoing medical concerns, between the ages of 16-65 years of age, should make an appointment with the nurse practitioner.  The parent/guardian of children under 5 will be asked to supply a copy of the childs immunisation history.

As it often takes sometime for records to be forwarded from your former practice all newly registered patients will be asked to complete a health questionnaire and are offered a consultation with the doctor.

Medical treatment is available from the date of registration.  Please contact reception for further information.

The practice cannot accept registration requests online at present but if you wish you can print out a copy of the:

Questionnaire for new adult patients (Questionnaire for under 18) and GMS1 Form bring it into reception along with the following:

(originals must be supplied along with photocopies for our records).  It is the patients responsibility to supply photocopies.

To register at this surgery you must do the following:

  • Live within the practice area – ask at reception
  • Provide proof of identification e.g. driving licence, passport, birth certificate, current visa or identity card
  • Provide proof of address e.g. utility bill, council tax bill, bank statement (dated within the last 3 months)

       Mobile phone invoices will not be accepted

  • Patients under the age of 7 years will need to provide a birth certificate and immunisation history (red book)

If your application is successful, patients under the age of 16 and those 65 and over,  will require a medical with the Health Care Assistant

Complete ALL the forms 

This includes the GMS1 form and the New Patient Questionnaire

Failure to do this will result in an unsuccessful application

Once you have completed all of the above, please hand it back to the receptionist.  The surgery will then handle your application


If your application is unsuccessful you will be contacted and your paperwork will be left at reception for collection

Consent for Patient Information for a Carer

Update Your Details

Patient Participation Group

Friends & Family Test

  • We would like you to think about your recent experiences of our service.

Travel Questionnaire

  • Personal Details

  • Trip Dates

  • Itinerary

  • CountryDuration (Days)Availability of Medical Help 
  • Trip Description - please tick appropriate boxes

  • Personal Medical History

  • Vaccination History

    Have you ever had any of the following vaccinations / tablets and if so, when?
  • If other please state

Add BP/weight/height info

  • Please send us data to help us keep your records up-to-date. Please ensure the measurements have been taken within the last 2 weeks and are accurate.
  • Please enter a number from 40 to 250.
  • Please enter a number from 40 to 150.
  • Please enter a number from 20 to 150.
    Please add weight in kg
  • Please enter a number from 50 to 210.
    Please add height in cm
  • Please tell us whether or not you smoke

Opening Times

  • Monday
    Open (Basic queries only): 08.00am l Clinics start: 9:00 l Close: 6.30pm
  • Tuesday
    Open (Basic queries only): 08.00am l Clinics start: 9:00 l Close: 6.30pm
  • Wednesday
    Open (Basic queries only): 08.00am l Clinics start: 9:00 l Close: 6.30pm
  • Thursday
    Open (Basic queries only): 08.00am l Clinics start: 9:00 l Close: 6.30pm
  • Friday
    Open (Basic queries only): 08.00am l Clinics start: 9:00 l Close: 6.30pm
  • Saturday
  • Sunday