New patient waitlist

Join our waitlist.

Our practice is full right now. Leave your details below and we'll contact you when a place opens. It takes about two minutes.

Your details

One form per adult. Add children under "household" and we'll ask for their details when a place opens.

Please don't include any health information. We only need contact details to hold your place. No health card number is required.
Is an immediate family member already a patient at Divine Medical Centre? *

Your details go to our reception team and are stored securely for the waitlist only.