Accessible Information Standard Questionnaire

Section

What is your preferred method of communication?
Do you require any of the following?
What type of interpreter do you require?
How would you prefer us to give you information?
How would you prefer us to contact you?
Do you prefer your written information in any of the following formats?
Do you currently use any of the following?

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.

Confirmation *