Register as a Carer

Please note: We have had a massive influx of people registering as a Carer in the last few days, please be aware that registering as a carer will not make you eligble to receive a COVID vaccine unless:
- You are eligble to receive a carers allowance, this means:
  - You're over 16
  - You spend at least 35 hours a week caring for someone
  - Your earnings are £128 or less a week after tax, national insurance and expenses
  - You're not in full time education
- You are the sole or primary carer of an elderly or disabled person who is at increased risk of COVID-19 mortality and therefore classified as clinically vulnerable
Ensuring our carers are identified, supported and stay well is essential so if you are are carer for someone, please complete the form below.

We work alongside Carers in Herts to ensure all carers receive the most support possible, by completing the below form you are consenting for us to register your details not only with The Manor Street Surgery, but also to refer you to Carers in Herts so you receive their support as well.

For more information on Carers in Herts please click HERE.
Your Details
Title First Name Last name
Date of Birth

Day
Month
Year
Email Address
Home Address
Street Address Address Line 2 City Post Code
Telephone Number
Do you receive carers allowance?
If you choose yes proof may be requested.
Do you spend at least 35 hours a week caring for this person?
Details of person being cared for
Name
First name Last name
Date of Birth
DD slash MM slash YYYY
Address
Street Address Address Line 2 City Post Code
What relation to you is the person being cared for?
Is the person you care for a patient at this surgery?
Name
This field is for validation purposes and should be left unchanged.

NEW! NHS 111 ONLINE for Quick Access to Medical Advice & Services

New Patients: How do I register?

How can I book an appointment?

Online Appointment Booking

Order your Prescriptions

Patient Participation Group

Friends & Family Test

Update your Details

Travel Forms

Opening Times

Monday
08:00 until 18:30
telephone appointments pre-booked available 7am-8am & 6.30-8pm Speak with our reception team
Tuesday
08:00 until 18:30
Wednesday
08:00 until 13:30
11th January 2023 Only
Thursday
08:00 until 18:30
Friday
08:00 until 18:30
Saturday
CLOSED
Sunday
CLOSED