Test results request

Which surgery do you normally attend? *

Mile End Surgery

Tuckswood Surgery

Gurney Surgery

Section

I have no objections to my email address being added to my medical record as a future form of correspondence. Please note, this will only be used for actions such as sending letters to you or reminding you of reviews and will not be used for any marketing purposes.

Test Date:

Please use this date format: DD/MM/YYYY.

What test results are you waiting for?

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