Communication Consent


We would very much like to be able to send Text, Letter and Email message reminders for appointments and other information relating to our services. If you agree with this would you please complete this form?

Enter your (or your child's) contact details in the form so that any messages are sent to the correct mobile number.

As a parent or guardian you can complete this form on behalf of your child if they are under 12. If they are over 12 they must complete the form themselves.

The Practice Responsibility

Patient confidentiality is really important to us. The practice will only send messages directly relevant to the management of your healthcare.

The Patient Responsibility

You understand that it is your responsibility to keep your contact details updated and that the practice will continue to use the details you have provided until you advise that it has changed. You also understand that you can withdraw your consent at any time by simply notifying the practice in writing.

To continue, simply click on the Give Communication Consent' button below and then complete the form.

Terms & Conditions
By clicking on the check box you are confirming that, with regard to this facility, you agree with the Terms and Conditions for its use, you consent to the practice collecting and storing your data from it and you give your consent for the practice to contact you (by email, text message and/or telephone) about it.

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