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Alexander House Surgery

Forms

New Patient registration formDownload
New Patient Health Questionnaire Download
Under 16 New patient QuestionnaireDownload
Notification of Pregnancy FormDownload
Patient Online Records Access Information-leafletDownload
Application for online access Download
Proxy Access form to online services 0-10 yearsDownload
Proxy Access form to online services 11-15 yearsDownload
Proxy Access form to online services 16+ yearsDownload
Patient Access to Medical Record Request Form (SAR)Download
National data Type 1 opt out formDownload
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