Patient Ethnicity

Last Updated: 02/02/2023

  • Personal Details

    I consent to receiving SMS text reminders and other health information from the Practice
  • Ethnicity

    In line with Government advice and NHS guidance, it is important that health care providers can identify patient ethnicity in order to offer appropriate guidance and support for those of us who are more vulnerable to certain diseases. Please select the appropriate choice to indicate your ethnicity. This will be recorded on your health records. You may opt out if you wish to do so.

    Ethnicity
This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.