Sandwich Medical Practice
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Deal and Sandwich PCN
Text Reminder Consent Form
Last Updated: 25/09/2019
Your Details
Name
*
Date of Birth
*
Mobile Number
*
Email Address
*
THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.
*
I consent to the practice collecting and storing my data from this form.
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Further Information
Practice Leaflet
Fear of Flying (flying phobia)
Teaching & Research
GP Earnings
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Friends and Family Test
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Practice Policies
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