Application for a Student to register with a Queens University Belfast GP Practice

Health and Social Care Services in Northern Ireland are not free to everyone. As they are primarily for the benefit of people who reside in Northern Ireland, you are required to complete this form and provide supporting documentation, so that your entitlement to access services can be assessed.

If you are considered eligible to register with a GP practice you can access publicly funded health and social care services, which are mostly free. Please note that a visitor lawfully here and registered with a GP is not entitled to Social Care services free of charge.

A separate form must be completed and signed by each adult over the age of 16 years.

Children under 16 years can be included with an adult registration by entering the full names and dates of birth of each child in step 3

All applicants must complete Step 3 and sign the declaration in Step 7, along with the relevant sections as applicable.

If your registration has previously been cancelled by the Business Services Organisation, in order to re-register you must provide all supporting documents along with your application. Please refer to the guidance notes for information.

If you do not provide satisfactory documents with your form and the GP practice forwards your application to the Business Services Organisation, it will not be processed. Your form will be returned to the practice and you will not be registered. Please note that if you receive treatment when you are not registered you may be charged. If you are unsure, please speak to the GP practice staff.

Visitors should refer to the guidance booklet which sets out the different entitlements and the documents you are required to provide in order to register.

You must provide all of your supporting documents as indicated in the guidance notes with your application form. If you do not, your application will not be processed. This will delay your registration and you may be charged for treatment

Eligible visitor:
An eligible visitor is a visitor to Northern Ireland who is lawfully present in Northern Ireland and satisfies a relevant exemption from charges such as students, workers and asylum seekers in accordance with the Health and Personal Social Services Provision of Health Services to Persons Not Ordinarily Resident Regulations (Northern Ireland) 2015, paragraphs 5 to 22

Ordinary Resident in Northern Ireland:
Persons coming to Northern Ireland to live are required to meet the 'Ordinarily Resident Test' in Northern Ireland, i.e. you must be lawfully residing in Northern Ireland and have an identifiable and settled purpose here.

To satisfy this test you must have indefinite leave to remain in the United Kingdom (UK).

The Business Services Organisation is a Data Controller under the Data Protection Act 1998. We hold information for the purposes specified in our notification to the Information Commissioner, including the assessment of patient charges. We may get information about you from others, or we may give information to them. If we do, it will only be as the law permits and / or to:

• check the accuracy of the information provided;
• prevent or detect crime;
• protect public funds;

Details of our Fair Processing Notice can be found at: Fair Processing Notice or by contacting us using the details below.

If you require assistance or have any queries about this form please contact:

Medical Registration

Business Services Organisation

Tel: 0300 555 0113

Your application will not be processed until you have provided satisfactory supporting documents

Your application will not be processed until you have provided satisfactory supporting documents

Your application will not be processed until you have provided satisfactory supporting documents

As proof of address You must provide a letter from QUB confirming your address in Northern Ireland, when you take up your university place

As proof of address You must provide a letter from QUB confirming your address in Northern Ireland, when you take up your university place

As proof of address You must provide a letter from QUB confirming your address in Northern Ireland, when you take up your university place

NB: The Business Services Organisation will seek to verify your entitlement to access public health care in Northern Ireland and as part of this process you may be required to provide supporting documents to satisfy the 'Ordinarily Resident Test'. For example proof that you are working in Northern Ireland. If the BSO are not satisfied that you are entitled, your registration with a GP in Northern Ireland will be cancelled and you may be charged for treatment.

NB: The Business Services Organisation will seek to verify your entitlement to access public health care in Northern Ireland and as part of this process you may be required to provide supporting documents to satisfy the 'Ordinarily Resident Test'. For example proof that you are working in Northern Ireland. If the BSO are not satisfied that you are entitled, your registration with a GP in Northern Ireland will be cancelled and you may be charged for treatment.

Documents you must provide:

• Home Office Document confirming lawfulness in the UK which must cover the period of the previous 12 months up to the day of registration and proof of living in the UK for the same period.

Documents you must provide

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth certificate showing parents name, adoption cert, proof of guardianship

and

• Your family documents to satisfy this exemption

Documents you must provide:

You must provide ONE of the following;

A. If you are engaging in employment which has its principle place of business in the UK or which is registered in the UK you must provide pay slips with employer and employee details.

B. If you are a self-employed person whose principle place of business is in the UK you must provide HMRC confirmation of a Unique Tax Reference (UTR), NINO and tax returns.

C. If you are working as a volunteer with a voluntary organisation that is providing a service under sections 64, 65 or 71 of the Public Health Act 1968 (a) you must provide a letter from voluntary organisation confirming period of voluntary service.

D. If you are pursuing a full time course of study which is substantially funded by the Northern Ireland departments, the Secretary of State, the Welsh Ministers or the Scottish Ministers you must provide a letter from Education Institution confirming period of student status and funding.

E. If you are pursuing a full time course of study which is of at least six months duration you must provide a letter from the Education Institution confirming period of student status and funding.

F. If you are taking up permanent residence in the UK you must provide a Letter, Certificate or Card issued by the Home Office confirming your permanent residency in the UK.

Documents you must provide

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth certificate showing parents name, adoption cert, proof of guardianship

and

• Your family documents to satisfy this exemption

Documents you must provide

• Proof as required by reciprocal agreement set out in schedule 1

Documents you must provide:

You must provide ONE of the following if you have been granted;

A. Temporary protection you must provide a letter from the Home Office confirming temporary protection or BRP.

B. Asylum you must provide your application Registration Card (ARC) and either BAIL 201 or IS.96 letter showing current address.

C. A child taken into the care of an authority under the Children (Northern Ireland) Order 1995 you must provide a letter from HSC Trust confirming Looked After Child.

D. Humanitarian protection you must provide a letter from Department of Health or Home Office confirming humanitarian protection or BRP.

E. I am a child in the care of an authority under the Children (Northern Ireland) Order 1995 you must provide a letter from NI Health Care Trust confirming status.

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• Your family members documents to satisfy this exemption

Documents you must provide:

• Home Office Reasonable Grounds Decision Letter

or

• Conclusive Grounds Decision Letter

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• Your family members documents to satisfy this exemption

Documents you must provide:

• Documents from the Department of Health confirming status

Documents you must provide:

• Passport and VISA

  or

  official document from Embassy confirming Diplomatic Status in the UK

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• proof that you are residing with your family member during your stay

and

• Your family members documents to satisfy this exemption

Documents you must provide:

• Documents confirming NATO status and official during in NI

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• Your family members documents to satisfy this exemption

Documents you must provide:

I am a UK pensioner who is;

• In receipt of a retirement pension you must provide a Pension Award letter from DWP or Social Security Agency

OR

• A resident in the UK for more than 182 days and in another EEA state or Switzerland for less than 183 days each year you must provide proof of residency in both countries for specified periods, .e.g. letter from International Pension Centre

and

• Not registered as a resident of another EEA state or Switzerland you must provide confirmation from the competent authority of country of residence confirming no registration

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing name, adoption cert, proof of guardianship

  and

• proof that you are residing with your family

Documents you must provide:

• Proof of veterans compensation scheme payments, such as a letter or confirmation from MOD

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• proof that you are residing with your family member during your stay

and

• Your family members documents to satisfy this exemption

Documents you must provide:

• UK Forces ID card
• Letter from employer confirming status in NI

Documents you must provide:

• Proof or relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• proof that you are residing with your family member during your stay

and

• your family members documents to satisfy this exemption

Documents you must provide:

• Letter from former employer or benefit office or school confirming residence of 10 year

and

• A letter from employer or payslips or contract of employment or tax payments confirming commencement of employment/self-employment

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• proof that you are residing with your family member during your stay

and

• Your family members documents to satisfy this exemption

Documents you must provide:

• Letter from organisation confirming it is based in the UK and the person is carrying out missionary work for them abroad

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• Your family members documents to satisfy this exemption

Documents you must provide:

• Letter from HMPS

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• proof that you are residing with your family member during your stay

and

• Your family members documents to satisfy this exemption

Documents you must provide:

• Passport and transit VISA, or Seaman's passport and payslips. Confirmation that ship/vessel is registered in UK waters

Documents you must provide:

• Proof of relationship such as marriage cert, civil partnership cert, evidence of enduring partnership, birth cert showing parents name, adoption cert, proof of guardianship

and

• Proof that you are residing with your family member during your stay

and

• Your family members documents to satisfy this exemption

In order to apply to access Health and Social Care Services in Northern Ireland you must read and sign the declaration below.

I wish to apply for Health Service registration in Northern Ireland, on the basis that I am ordinarily resident or an eligible visitor in Northern Ireland and I declare that the information I have given on this form is correct and complete. I understand that if it is not, appropriate action may be taken against me, including cancelling my registration and the recovery of charges.

I understand that by applying to register with a GP Practice in Northern Ireland, my information will be shared to and by the Business Services Organisation, with other bodies including HSC organisations, Fraud Prevention Agencies and Government Bodies such as the Department for Communities, Department of Work and Pensions, Her Majesty’s Revenue and Customs, the Home Office, the Health Service Executive, the Department of Social Protection and any other government bodies as may be appropriate for the following purposes:

• To check the accuracy of the information provided
• to determine eligibility to register with a GP in Northern Ireland
• Prevent or detect crime
• Protect public funds

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