Email and text message consent

We would like to be able to send you information by email and text message, but we will require your permission to do this. Use this service to give us your consent to do so.

You can use this service if you:

• are registered at the surgery

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

Start now

You can also phone us on 01582 722143.