Corresponding with us by EMAIL

Please use the form below to send us your email address so we can add it to your medical records. Your email address will be stored electronically on your medical record in the same way as your other contact details. This is so we can communicate with you by email. Once we have received your email address, we will send you a reply asking you to provide your consent to receiving emails from us, as set out in our email policy. The form below asks for your name, date of birth and address purely as a means to identify you to ensure we add your email address to the correct medical record. If you need to update your other details, you will need to do so separately.

Send us your email address:

Your email address: 
Your first name: 
Your surname: 
Your date of birth: 
Your address: 
Please enter the following 
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