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Home - Patient Toolbox > Update Your Records


Update Your Records
This service allows you to update your medical records. Updating your records is important, especially for those who do not come to the surgery often. With updated records, we can look after your health needs even better than we would be able to with out of date details.

Use the TAB button on your keyboard. DO NOT press enter to go to the next box as this will actually hit the 'request prescription' button and you will be presented with an error message

Please input your details into the form below and click 'Submit'. Your updates will then be sent to us and picked up by a member of the admin team. We will then edit and correct your medical records.

* = Required Field

Forename:*                   Surname:*                      Phone Number:          
              
E-mail Address*
    

Please fill in the details below, please make sure these details are as accurate as possible.

What is your weight:                     What is your Height:
          


Smoking...
Do you Smoke?    
Yes     No

If Yes, what do you smoke?    

If so, how many do you smoke a day?   

Would you like help giving up smoking?      Yes     No


Alcohol...
How much do you drink per week (units)  


Allergies...
Do you have any known allergies?  


Anything else we should know?

I agree to the Terms & Conditions*

                                                                                          

 
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To use any of the services on this website, you need to agree to our terms and conditions of use.

Please read these before using any service on this website.

 

NHS Direct offers free expert health information and advice 24 hours a day on 0845 4647 or on their website which also offers an enquiry service.

For deaf people and those hard of hearing, a telephone service is available on 0845 606 4647

 

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