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
You can also phone us on 0121 747 3586.