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Home
Opening Hours
Meet the Team
Services we offer
About online services
New Patients
News
Vacancies
Patient Participation Group
Practice Newsletters
Contact Us
Language
Menu
Access Online Services
Appointments
Prescriptions
Patient Record
Additional Sick Note Request Form
Online Forms
Our Services
Health Advice
Text Reminder Consent Form
Last Updated: 25/09/2019
Your Details
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THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.
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I consent to the practice collecting and storing my data from this form.
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