Long term condition synchronisation

Section

Named GP (if known):

Which conditions have you been diagnosed with?

Would you like us to send you text messages?

Yes

No

Please note that the details you give will be used to update your medical records.

Confirmation

Please confirm that you are registered at The White House Surgery, MORETON-IN-MARSH, Gloucestershire before proceeding. If not, please send to correct surgery.

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Section