Smoking Review

 

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Personal Details

If you have been asked by the surgery to submit your smoking status please use this form.

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Smoking Review

We offer a Smoking Cessation Service at the surgery- appointments are available to book online or by contacting our Reception on 01900 705750

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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