Anybody in England can register with a GP practice and receive free medical care from that practice.
However, if you are not ‘ordinarily resident’ in the UK you may have to pay for NHS treatment outside of the GP practice. Being ordinarily resident broadly means living lawfully in the UK on a properly settled basis for the time being. In most cases, nationals of countries outside the European Economic Area must also have the status of ‘indefinite leave to remain’ in the UK.
Some services, such as diagnostic tests of suspected infectious diseases and any treatment of those diseases are free of charge to all people, while some groups who are not ordinarily resident here are exempt from all treatment charges.
More information on ordinary residence, exemptions and paying for NHS services can be found in the Visitor and Migrant patient leaflet, available from your GP practice. Alternatively for more information go to
You may be asked to provide proof of entitlement in order to receive free NHS treatment outside of the GP practice, otherwise you may be charged for your treatment. Even if you have to pay for a service, you will always be provided with any immediately necessary or urgent treatment, regardless of advance payment.
The information you give on this form will be used to assist in identifying your chargeable status, and may be shared, including with NHS secondary care organisations (e.g. hospitals) and NHS Digital, for the purposes of validation, invoicing and cost recovery. You may be contacted on behalf of the NHS to confirm any details you have provided.
Please select one of the following statements:
I declare that the information I give on this form is correct and complete. I understand that if it is not correct, appropriate
action may be taken against me.
A parent/guardian should complete the form on behalf of a child under 16.
On behalf of:
Relationship to patient:
How will your EHIC/PRC/S1 data be used?
By using your EHIC or PRC for NHS treatment costs your EHIC or PRC data and GP appointment data will be shared with NHS secondary care (hospitals) and NHS Digital solely for the purposes of cost recovery. Your clinical data will not be shared in the cost recovery process.
Your EHIC, PRC or S1 information will be shared with The Department for Work and Pensions for the purpose of recovering your NHS costs from your home country.
Electronic Prescription Service
The Electronic Prescription Service (EPS) is a NHS service that allows us to send your prescription(s) directly to your chosen pharmacy. This paper-free prescription service means that you do not have to come into the surgery to collect your prescription.
We encourage all patients to register for this free service.
I would like to have my prescription sent electronically.
My chosen Pharmacy is:
Please select a pharmacy...
Boots, 58-60 Church Road, Ashford, Surrey, TW15 2TS
Lloyds Pharmacy, 6 Fir Tree Place, Church Road, Ashford, TW15 2PH
Breakspear Pharmacy, 13 Church Road, Ashford, Middlesex, TW15 2UN
Superdrug Stores, 15-15a Station Road, Ashford, Middlesex, TW15 2UP
Ashford Lodge Pharmacy, 122 Feltham Hill Road, Ashford, Middlesex, TW15 2BX
Boots, 3 Woodlands Parade, Ashford, Surrey, TW15 1QD
Tesco's Pharmacy, Tesco Superstore, Town Lane, Stanwell, Middlesex, Middlesex, TW19 7PZ
Hive Pharmacy, 23 Edinburgh Drive, Laleham, Staines, Middlesex, TW18 1PJ
Herman Pharmacy, 7 Trident House, Clare Road, Stanwell, TW19 7QU
Broadway Pharmacy, 3 Broadway, Kingston Road, Staines-upon-Thames, Middlesex, TW18 1AT
Herman Pharmacy, St Davids Health Centre, Hadrian Way, Stanwell, Middlesex, TW19 7HT
Sunset Pharmacy, 165 High Street, Staines, Middlesex, TW18 4PA
Boots, 380 Staines Rd, Feltham, Greater London, TW14 8BT
Edwards and Taylor, 491 Staines Road, Bedfont, Feltham, TW14 8BN
Boots, Sunbury Cross Ctr, Staines Road West, Sunbury-on-Thames, Surrey, TW16 7AZ
Westlake Pharmacy, 63 Wheatsheaf Lane, Staines, Middlesex, TW18 2PG
Tesco Instore Pharmacy, Staines Road West, Sunbury-on-Thames, Middlesex, TW16 7BB
Boots, Two Rivers Retail Park, Mustard Mill Road, Staines, Surrey, TW18 4WB
Imagecraft Ltd, 54 Beverley Parade, Nursery Road, Sunbury-on-Thames, TW16 6LG
Tesco In-Store Pharmacy, 98 High Street, Feltham, Middlesex, TW13 4EX
Boots, 138 The Centre, Feltham, Greater London, TW13 4BS
Boots, 76 The Centre, Feltham, Greater London, TW13 4BH
Asda In-Store Pharmacy, Tilley Road, Feltham, TW13 4BH
Boots, 3 Terminal Three Landside Departures, London Heathrow Airport, Hounslow, Greater London, TW6 1QG
Trio Pharmacy, 19-21 High Street, Shepperton, Middlesex, TW17 9AJ
Boots, 7-9 High St, Shepperton, Surrey, TW17 9AJ
Tesco In-Store Pharmacy, Dukes Green Avenue, Feltham, Middlesex, TW14 0LH
Feltham Pharmacy, 186-188 Uxbridge Road, Feltham, Middlesex, TW13 5DY
Jays Pharmacy, 229 Pooley Green Road, Egham, Surrey, TW20 8AS
Lloyds Pharmacy, 8 Avenue Parade, Sunbury, TW16 5HS