Skip to main content

Ethnicity data

Use this service to inform us of your ethnicity to complete your medical record, in line with government guidance.

You can use this service if you:

  • are registered at the surgery

COVID-19 has affected certain populations in the UK differently, so in order to plan recovery in a way that inclusively supports those at greater risk, it is important we have this data on record.

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also phone us on 0121 747 3586.