This website has been provided to Parchmore Medical Centre for evaluation purposes, and should not be used by Patients. ×

Records Update Questionnaire

Please Note: If you do not wish to complete the questionnaire online please contact the surgery and we will arrange a paper copy to be sent to you.

1Patient Details

(1st 3 Chars)
(1st 3 Chars)

2General Medical Details

Metres & Cm or Feet & In
Kilogrammes or Stones & Lb
Systolic Over Diastolic

3Contact Details

(your-email@address.com)

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Your Neighbourhood Professionals. Just a Click Away!
97 Parchmore Road, Thornton Heath, Surrey, CR7 8LY
  • Telephone 020 8251 4200
Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals. Just a Click Away!
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