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Completion and submission required for registration

 

If you are already registered with us as a patient, you do *not* need to complete this form to use our econsultation service. Simply visit our econsultation page and start your consultation if required.

1. Before commencing your consultation, please confirm that you agree to our privacy and data sharing policy. *

 

2. To register as a Patient at one of our Practices, you must agree to the following: *