Swarland Avenue Surgery

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Ethnicity

Ethnicity Questionnaire
Please use format day/month/year e.g. 12/05/1979
Please specify the ethnic group you consider you belong to *

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.