Due to the demand on our services and reduced human resources as a result of the Covid-19 pandemic we are currently having to modify some of our services as advertised on our website. Please DO NOT come to the surgery unless you have been advised to do so by a member of our clinical team or if you have a pre-arranged appointment. If you need any further detail regarding any of our services please contact us for advice on 01294 441441 general enquiries.

Medicines are NOT in short supply. Please only order the medicines that you need. Do NOT order all medicines every time.
Pharmacies are extremely busy so please allow at least FIVE days after ordering medicines before collecting from your nominated pharmacy.

Summary Care Record Opt-out Form

Summary Care Record Opt-Out

Section A – Patient’s Details

Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979
Address
Town/City
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Section B – Complete this section of you are completing the form on behalf of another person or child

Signature

Please sign your name to confirm. You may draw with mouse, stylus, touch or select the “Type It” option to type your signature.
Today’s date is automatically inserted here.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
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