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Torridon Road Medical Practice
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Appointments, Tests & Referrals
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Your Health
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Upload ID documents
Upload ID documents for registration
First Name
*
Last Name
*
Email
*
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
Phone Number
*
Upload ID documents
We require 2 documents:
Upload photo ID:
Government provided identities with your photograph e.g. passport data page, driving licence, etc.
Upload proof of address:
(Letters from recognised establishments, e.g. council tax letters, utility bills, letters from the hospital, HMRC, tenancy agreement, etc.)
Upload Photo ID
*
Drop a file here or click to upload
Choose File
Maximum file size: 10MB
Upload Proof of address
*
Drop a file here or click to upload
Choose File
Maximum file size: 10MB
Privacy Policy
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our
Privacy Policy
to discover how we protect and manage your submitted data.
*
I consent to the practice collecting and storing my data from this form.
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