Carer Registration Form

Please add my name to the register of Carers which will be held by the Bovey Tracey & Chudleigh Practice.

1Your (Carer's) Details

Please put the number we are most likely to be able to contact you on if required.

2Details Of The Person You Care For

e.g. spouse/child/parent

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

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 Bill Optical Personal Trainer - Female Fitness & Wellbeing Peplows Intergrated Dental Holdings Ltd Newton Abbot Chiropractic Centre Ltd Angels Home Care
© Neighbourhood Direct Ltd 2017
Riverside Surgery - Le Molay-Littry Way, Bovey Tracey, Devon, TQ13 9QP
  • Telephone 01626 832666
Tower House Surgery - Market Way, Chudleigh, Devon, TQ13 0HL
  • Telephone 01626 852379
Practice Website supplied by Oldroyd Publishing Group
Your Neighbourhood Professionals
Bill Optical Personal Trainer - Female Fitness & Wellbeing Peplows Intergrated Dental Holdings Ltd Newton Abbot Chiropractic Centre Ltd Angels Home Care
Back to top