Vanisha Patel

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PATIENT DECLARATION for all patients who are not ordinarily resident in the UK

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Vanisha Patel

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Sick Note Request form

Alcohol Questionnaire for Adults

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Patient's Details

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If you are from abroad

If you are returning from the armed forces

NHS Organ Donor Registration

NHS Blood Donor Registration

Supplementary questions

PATIENT DECLARATION for all patients who are not ordinarily resident in the UK

Complete this section if you live in another EEA country, or have moved to the UK to study or retire, or if you live in the UK but work in another EEA member state. Do not complete this section if you have an EHIC issued by the UK.

NON-UK EUROPEAN HEALTH INSURANCE CARD (EHIC), PROVISIONAL REPLACEMENT CERTIFICATE (PRC) DETAILS and S1 FORMS

If you are visiting from another EEA country and do not hold a current EHIC (or Provisional Replacement Certificate (PRC)/S1, you may be billed for the cost of any treatment received outside the GP practice, including at hospital).

Are You A Carer?

Asthma Annual Review Questionnaire

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