Update registration details

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The NHS is currently asking practices to ensure registration details are up to date. We would be grateful if you could complete this brief online form.

OPTIONAL: you can enter your height and weight if you wish, and update your contact details

SAFETY: Your answers will be attached to your medical record but may not be seen immediately. This system should never be used if you are in need of urgent medical attention. In this event, please contact the appropriate services (999 or 111) or the practice as normal.

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Practice Name - OFFICE USE ONLY *

This review is only for patients registered at the practice below. Please do not alter

Data Processing Notice

Who is this for? *

Please note that anyone under 18 can only have this review completed by a parent or legal guardian on their behalf

I am completing this for myself

I am completing this for my child

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