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Please can we ask that you do not use this form to ask clinical or medical questions of the team. This should be done by completing an eConsult (found on the surgery front page). Thank you in advance for your cooperation.

Last Updated: 30/08/2024

  • Your Details

    Date of Birth
    For example, 15 3 1984

  • Your Comment

    This form collects your name, date of birth, and contact 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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