Need Help?

If you need any help completing your form please email Ramsay.Digital@ramsayhealth.co.uk and we will be happy to help.

Registration Form

Thank you for visiting Ramsay Health Care UK registration. Can you please take the time to carefully complete your details on the following registration form. It should take a maximum of 10 minutes to complete, the form will time out after 20 minutes of being in use.

  • 1) The Hospital you will be treated at
  • 2) The name of your Consultant
  • 3) Your GP information
  • 4) Your NHS number will also be helpful but not essential
  • 5) Patient Number (found on your correspondence from us)

Please ensure you have this information readily available as you will need to complete the form in one session and will not be able to save and return later to complete the form.

  • 1) The Hospital you will be treated at
  • 2) The name of your Consultant
  • 3) Your GP information
  • 4) Your insurance company details
  • 5) Your insurance policy number
  • 6) Your authorisation number
  • 7) Your NHS number will also be helpful but not essential
  • 8) Patient Number (found on your correspondence from us)

Please ensure you have this information readily available as you will need to complete the form in one session and will not be able to save and return later to complete the form.

  1. 1) The Hospital you will be treated at
  2. 2) The name of your Consultant
  3. 3) Your GP information
  4. 4) Your NHS number
  5. 5) Patient Number (found on your correspondence from us)

Please ensure you have this information readily available as you will need to complete the form in one session and will not be able to save and return later to complete the form.

Registration Form

Next of Kin Information

Admission Information

Medical Insurance Information

Welcome to Ramsay Health Care UK

Ramsay Health Care UK Operations Limited is committed to ensuring the privacy and confidentiality of your personal information, and to protect it from unauthorised access and disclosure.

In order to provide you with accurate and timely information about your appointments and treatment with us, we will need to contact you, and ensuring we use the best method of communication is vital.

Please let us know how you would prefer us to communicate with you

To improve our level of care and service; Ramsay is required to monitor patient satisfaction of the services provided to you. We may contact you by email through our third party survey provider, Cemplicity, to ask you to complete a patient satisfaction survey. Please note that we will share your name and email address with Cemplicity to enable them to contact you directly.

To keep you informed about our services; are you happy for Ramsay Health Care to:

We will only send you marketing information where you have agreed to opt in to receive it. We will only use your preferred communication channels to contact you and you will be given the option to select this when opting in. You can stop us from contacting you for marketing purposes by clicking on the ‘unsubscribe’ link embedded within the email that has been sent to you. Doing so will remove your personal data from our contacts list automatically.

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27/05/2022 12:44

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Thank you for providing your information

We will get back in touch if there is anything we need to clarify.

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