Our Practice is committed to providing our patients with the best care. To do this it is essential that your details are kept up to date, please complete the following form if you require assistance our receptionist will be happy to oblige.
This practice uses a recall and reminder system to enable a systematic approach to health promotion and preventative care. My signature below indicates that I have read the above and consent to the following:
I also consent to having blood removed for testing of communicable diseases, including Hepatitis & HIV, in the event of the
exposure of a staff member to my blood or body fluids.
I take full responsibility for attending a follow-up appointment with my doctor to discuss all test results ordered by my doctor.
Thank you for allowing us to take care of you today (and hopefully the future too). To assist us it would be very helpful if you could answer a few health questions.
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