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Help us update your medical records

News - Latest

Saturday, 23 January 2010 16:27

We would be grateful, if you have not recently done so, then help us to update your medical records.

Help us update your medical records

Full Name
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DOB
Please enter your date of birth *

Ethnicity
Please tell us your ethnicity Why am I asked about my ethnicity - Click for more information *

Main Language Spoken
Please tell us you main language spoken Why am I asked about my ethnicity - Click for more information *

Smoking
Please tell us if you are a CURRENT smoker?
Click for YES Click For No

Alcohol
Please tell us how many UNITS you drink in a average WEEK. For help with calculating units you can use the calculator below:

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In using this form you will need to enter personal details which will be transmitted over the internet. This information is not encrypted and therefore we can not guarantee that this information will not be seen by others.

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Last Updated on Wednesday, 14 July 2010 20:17

South Street

Mon:	8:00 - 6:00:
Tues:	8:00 - 6:00:
Wed:	8:00 - 6:00:
Thurs:	8:00 - 6:00:
Fri:	8:00 - 6:00:
Sat:	8:00 - 11:00:
We are only open on Saturday mornings for prebookable appointments
Sun:	Closed

Mon:	8:00 - 6:30:
We offer prebookable evening appointments on Monday evenings
Tues:	8:00 - 6:30:
Wed:	8:00 - 6:30:
Thurs:	8:00 - 6:30:
Fri:	8:00 - 6:30:
Sat:	Closed:
Sun:	Closed:

Help us update your medical records

South Street

Bishop's Park