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Update Your Clinical Information

Keeping your clinical records up to date is very important and ensures that we provide you with the best level of care. We know that many patients change their lifestyle over time, for instance quitting smoking or reducing their alcohol intake, and this information is important for your treatment. You can update your clinical details by filling in an submitting the contact form below. Just fill in the information that is relevant to your lifestyle.

  • Contact Details

  • Physical Details

  • Smoking

  • Alcohol

  • Care Information

  • If yes, please provide the following information:

  • Other Information

  • Confirmation

    Please be aware that the surgery will contact you by email or telephone to confirm all information above is correct before our records about you are altered.

    We cannot guarantee that the internet is secure, and the transmission of data is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions. If you do not wish to use the online form, please feel free to contact the practice directly on 01253 957 666.