Thank you for applying to join Uppingham Surgery.
We would like to gather some information about you and ask that you fill in the following questionnaire.
You don’t have to supply answers to all of the questions but what you do fill in will help us give you the best possible care.
Please supply two forms of Identification with your completed form, a photographic form of ID (such as passport or driving license) and proof of your home address (such as a recent bank statement or document relating to your new home).
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