eMR Consent Form

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eMR Consent Form (Post Viewing Records)
Personal Details
UK mobiles only
Patient Consent

We need to have your consent to send your notes to your requested third party provider, after you have reviewed your notes. Please complete and submit the below form as soon as possible.

Privacy Consent

This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.


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