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Third party consent

Use this service if you require another person to discuss information on behalf of you.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
  • ID and we will contact you to confirm consent
Start now

You can also phone us on 01953 881247.

Page published: 18 February 2025
Last updated: 18 February 2025