Practice Registration Form

Please fill out the form below and a member of our medical team will be in-touch with you shortly to arrange an initial consultation. To ensure no breach of confidentiality, please do not include any medical information in this form.

Please confirm if you are happy for Palace Gate Practice to contact you using the submitted details. For further information, please read our privacy policy.

Contact Information


2a Pennant Mews
London W8 5JN


Tel: +44 (0)20 7244 5800
Fax: +44 (0)20 7341 4628

Hours of Operation

Surgery open doors:
Monday to Friday – 8:30am to 6:00pm

For out-of-hours service, please call:
Tel: 020 7244 5800


Buses: 74
Underground: Earls Court, Gloucester Road
Parking: K&C Residents parking Marloes Rd, Lexham Gardens, Knaresborough Place, Cornwall Gardens (alley through to Lexham Gardens).
Pay & Display parking: Marloes Road, Lexham Gardens