Request To Disclose Medical Records

Full Name *

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GP Address *

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I agree to disclose all medical records in respect of myself

I consent to the full medical records being disclosed to Christchurch Clinics, 132 High Street, Braintree, Essex, CM7 1LB

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Date

Ear, Nose, & Throat

Infections & Minor Illness

Lifestyle

Skin

Vaccinations

Women's Health

Men’s Health

Aesthetics

Blood Pressure Check

Chickenpox

COVID-19 Vaccination

Cryotherapy

Earwax Removal

Family Planning

Flu Vaccination

Hair Loss

Hepatitis B

HPV

Menopause

Mole Check

Pneumococcal Vaccine

Private GP Services

Shingles Vaccination

Travel Vaccination Clinic

Vitamin B12 Treatment

Weight Management

Yellow Fever Vaccination

Book Appointment

Contact

Pricelist

NHS Services

Contraceptive Pill Repeat Supply

Ear Infection

(1-17 Years)

Impetigo Sores

(1+)

Infected Bug Bites

(1+)

NHS Cardiovascular Heath Check

NHS Stop Smoking Support

Shingles Rash

(18+)

Sinusitis

(12+)

Sore Throat

(5+)

Urine Infection

(Women 16-64 Yrs)

Private Services

Cardiovascular Heath Check

Erectile Dysfunction Treatment

Period Delay

Weight Loss Pre-Assessment

Book Appointment

Contact

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Request To Disclose Medical Records