Annfield Medical Centre

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MedicalReport, Jury Service & Doctors Letter Request

Medical Report/Doctors Letter
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Please use format day/month/year e.g. 12/05/1979
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Maximum file size: 10MB

Your confirmation to accept any costs

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.