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Please do not use this facility for medical queries such as your medication. For reasons of patient confidentiality we do not correspond on clinical matters.These messages are not checked by clinical staff. In this instance, you are advised to contact the Practice directly.

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Name

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Last

Policy Mobile check

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Date of Birth

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Your Named GP

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Please check the box below that your enquiry is not urgent

I confirm that my enquiry is not urgent, and I understand it may take up to 5 working days or more before I receive a reply.

I consent to the practice collecting and storing my data from this form

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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