Reception and Appointment Enquiries

01423 566636

Referral/Insurance Enquiries

01423 569302

Are You a Carer?

There is plenty of information about care and support on the NHS website including the Carers Direct helpline service.

If you are a carer please let us know. We may be able to help you. Contact us by calling or visiting the surgery or by completing the form below.

  • Carer details

  • Date Format: DD slash MM slash YYYY
  • Details of person being cared for

  • Date Format: DD slash MM slash YYYY

The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you, and sets out rules to make sure that this information is handled properly.

Please note that by using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of registration.

Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.


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