Admin: Psychiatry Care Plan
Please complete the form below if you suffer from a chronic mental health condition. It is important we gain a picture of your health and social support as well as key warning signs to look for so we can better support you in the future.
Please do not write any clinical queries on this form. Any clinical queries or request for appointments via this form will be discarded. To make an appointment either book online via the NHS app/Patient access or by calling reception 01926 316711. On receipt of your form we will update your clinical records. If you are NOT a registered patient then your form will be discarded. This service is only for patients registered at the surgery aged 16 and over; and for parents or legal guardians of children. Forms must be completed in the UK due to GDPR regulations.
Admin: Psychiatry Care Plan
Physical health parameters
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 and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
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Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.