Student Registration

Welcome to Southampton! 

Our aim here at the St Mary’s Surgery is to keep in you in good health and help you have an enjoyable and successful time at university. 
You will be able to register with the practice during your first week at university. Members of the practice team will be available to advise and assist you during September, and registration will form part of your Freshers Week Induction Programme. 
Please look out for details when you receive your timetable. 

student registration

Please complete a new patient registration form and send it via email to the practice at Patients will be asked to confirm proof of identity and date of birth and we may contact you by phone to verify this. Please ensure that you sent in  your ID documents with your registration form . We will use the details to check these match with the information held on the NHS central patient registry and that your previous medical notes are passed on to the practice.

When you register you will also be asked to fill out a medical questionnaire. This is because it can take a considerable time for us to receive your medical records. There is a printable version of this form, which you may fill out and send electronically to us with your registration form.


  • Fill this in before you arrive to register, 
  • Use black pen and block capitals, 
  • Give your Southampton address, 
  • Complete all the medical information requested

This form can be used to register at our surgery either at Johnson Street or at Telephone House. Please browse our website to familiarise yourself with services we offer and how you can access them.

Please remember to tell us whenever you change your mobile phone number and let us know if you are happy for us to contact you by text message.

At some time you may need the following:

University Medical Evidence Form

If you need to make an application for Disabled Students Allowance (DSA) or a request to support compelling personal reasons (CPR) then you will need to fill out the Medical Evidence Request Form and bring this into the surgery. We will use this form to generate a medical report for which there will be a fee. Students in severe financial hardship can apply for financial support from the University Support Grant to cover these costs

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