Use this service to give your consent to receive text messages and/or emails from the surgery for the purposes of health promotion, practice news and for appropriate reminders.
You can use this service if you:
- are registered at the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
If more than one person shares the use of the mobile phone number detailed below, we will need a consent form from each of those people.
By using this service, you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your details.
Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.
Start nowYou can also phone us on 0117 980 5100.
