Decline a Health Review

If you do not wish to attend for your long term condition review at this time please fill in the form below. You will be removed from the recall programme for the next 12 months and your records will be amended to record this. If at any time you change your mind and would like to attend for a review you can at any time contact the surgery to book an appointment and re-enter the recall system.

Please note: Once the disclaimer on your submitted form expires, the surgery will contact you again to attend for your review.

Decline a Health Review

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