This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.

Downloadable Practice Forms

Please click on the link below to view printer friendly versions of our Practice forms and other information leaflets. Most of these forms and leaflets are available to pick up at Rothwell or Desborough Practice receptions, should you require it. Please also ensure you are using the latest version of our forms from the website as submission of incorrect versions may invalidate your request.    

Form/Leaflet Name


Further Website Information

Blood Pressure Form

Only complete this form if you have been asked by a clinician, otherwise this information will not be reviewed.


Travel Form

See Travel Vaccinations page on our website

Repeat Sick Note Request Form

For your information, sick notes can be back dated.   Please see form for additional instructions.


Online Registration Form

Online Records Information Leaflet

Only complete this form if you are already registered with our practice. You will need to provide proof of ID. (For new patients this form is included in the New Patient Registration Pack)


New Patient Registration Forms


Identification documents required to register

1. Proof of identity (passport, driving licence, birth certificate etc.)

2. Proof of address (Identity card, official letter confirming address i.e. utility bill no more than 6 months old)

3. Proof of UK residency if applicable.

Please bring your ID and completed forms to reception.



Access to Medical Records Form


Access to Medical Records Information Leaflet

See Information Leaflet

Complaints Form

 See form

Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website