Hartington Surgery

Dig Street | Hartington | Buxton | Derbyshire | SK17 0AQ

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New Patient Health Questionnaire

Please complete this Health Questionnaire:

To enable us to update our clinical information, please will you complete this questionnaire. This information will be treated in the strictest confidence. You can also download this form to complete and take to the Surgery along with any medication etc. Please click on the link at the bottom of this page.

Thank you

New Patient Health Check Questionnaire – PDF

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