Update Clinical Record

Please help us to keep our clinical records up to date by providing the information below.

1 Your Details

Please provide in the format dd/mm/yyyy
This will allow us to locate you quickly on our Patient Database.

2 Your Address

3 Your Contact Details

4 Physical Attributes

5Lifestyle Choices

6 Additional Information


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Your Neighbourhood Professionals. Just a Click Away! Counselling: why wait for a NHS appointment? Contact a private counsellor today Don Set up a lasting power of attorney before you lose capacity and it Nigel Garrod Specsavers Opticians, Egham Norman Prince & Partners - Independent Eyecare Specialists Gemini Cars (Egham) Ltd Robinson & Lamb Opticians
Burges Way, Knowle Green, Staines, Middlesex, TW18 1XD
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Your Neighbourhood Professionals. Just a Click Away! Counselling: why wait for a NHS appointment? Contact a private counsellor today Don Set up a lasting power of attorney before you lose capacity and it Nigel Garrod Specsavers Opticians, Egham Norman Prince & Partners - Independent Eyecare Specialists Gemini Cars (Egham) Ltd Robinson & Lamb Opticians
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