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Parkside Medical Centre Over 16s Questionnaire

Parkside Medical Centre Over 16s Questionnaire
Certain ethnic groups may be at a higher risk of contracting specific medical conditions.

Please ask for a consent form should you wish any other person to have access to any information regarding yourself held by us.

Summary Care Record

(Emergency care summary) If you answer no or do not answer, a SCR will NOT be created, an emergency the hospital will not be able to access your records

Online Access

If you would you like a password for online services so you can book appointments and medication online, please ask reception and show some photo ID.


We need to provide everyone with the opportunity to receive communications from us.

This could be to remind you of an appointment or to ask you to book a review of a medical condition/medication review or to tell you about flu clinics and other news. We want to be able to keep you up to date with information we believe helps you and keeps you informed.

As a member of the VPPG you would be the first group of patients to try out new ideas and services, and give your opinion on Practice matters. All contact with us would be via email.

Electronic prescribing

Your prescriptions will be sent to a chemist electronically to a phamacy

Please state the name and postcode of the pharmacy you wish to use.

If you do not answer your prescriptions will be here for you to collect and take to a chemist of your choice.


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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