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- Click ‘Get Form’ to open it in the editor.
- Begin by filling in your personal details. Use BLOCK CAPITALS for clarity. Select your title (Mr, Mrs, Miss, Ms) and provide your surname, first names, date of birth, and NHS number.
- Next, enter your home address and postcode. Include your telephone number for contact purposes.
- If applicable, provide information about your previous medical records by detailing your previous UK address and the name and address of your former doctor.
- For those returning from abroad or the Armed Forces, complete the relevant sections regarding previous addresses and enlistment details.
- If registering a child under 5, indicate consent for Child Health Surveillance by ticking the appropriate box.
- Finally, review all entries for accuracy before signing and dating the form at the bottom.
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