New Patient Registration

…Nationality / Ethnicity Please specify the ethnic group you consider you belong to: White British White Irish Black Caribbean Black African Black Caribbean and White Black African and White Indian…

Private: Consent to Proxy Access to GP Online Services

…accessed) Surname: * Forename: * Date of Birth: * Preferred Contact Number: * Additional Contact Number: Email address: * All responses we send will go to this email address. Address…

Suggestions, Comments and Complaints

meetings with you. They do not investigate complaints. Post: Derbyshire Mind Advocacy Services Albany House Kingsway Hospital Derby DE22 3LZ Telephone: 01332 623 732 Website: www.derbyshiremind.org.uk Email: advocacy@derbyshiremind.org.uk What happens…

Fair Processing Notice

a copy of your records please contact: Adult records Outpatient and Health Records Manager Ilkeston Hospital Heanor Road Ilkeston DE7 8LN Children’s records Corporate Governance Officer Babington Hospital Derby Road

Appointments

…can be booked in advance. Musculoskeletal Appointment The Practice is offering a new service to patients. Supporting our we have a team of clinical staff who are experts in musculoskeletal…

Clinics and Services

…been advised by the surgery to submit an Asthma review on a regular basis please use our form. COPD monitoring (Spirometry) – If you have been advised by the surgery…

Requesting an additional Sick / Fit Note

If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete this…

Research Practice

…the PRINCIPLE Trial Information Request Form. Glad Study Developed in Collaboration with Mental Health Charity MQ and with Patients and Service Users the GLAD study seeks your involvement. To take…

Summary Care Record Opt Out

…any bad reactions to medicines that you have previously experienced. Your Summary Care Record also includes your name, address, date of birth and your unique NHS Number to help identify…