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Wheat field Surgery Patient Information Leaflet 60 Wheat field Road, Luzon, LU4 0TR Tel 01582 601116 Fax 01582 666421 www.wheatfieldsurgery.co.uk Wheat field Surgery Opening Times SMS TEXT REMINDER
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Start by providing your personal information, including your full name, contact details, and date of birth.
02
Next, provide your address, including the house number, street name, city, and postal code.
03
Fill in your medical history accurately, detailing any previous illnesses, surgeries, or conditions you have or had in the past.
04
Make sure to mention any allergies or sensitivities you have, as well as any medications you are currently taking.
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If applicable, provide your insurance details, including the name of the insurance provider and your policy number.
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Read and understand the content of the welcome form, including the terms and conditions, privacy policy, and consent for treatment.
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Sign and date the form to indicate that you have read and understood all the information provided.

Who needs welcome to Wheatfield Surgery:

01
New patients who have recently registered with Wheatfield Surgery.
02
Existing patients who have not filled out the welcome form previously.
03
Patients who have undergone significant changes in their medical history, contact details, or insurance information, and need to update their records.
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Welcome to Wheatfield Surgery is a form that patients must fill out before their appointment to provide important medical and personal information.
All patients visiting Wheatfield Surgery are required to fill out the welcome form.
Patients can fill out the welcome form either online before their appointment or in person at the front desk of Wheatfield Surgery.
The purpose of the welcome form is to gather necessary information about the patients' medical history, allergies, medications, and emergency contacts.
Patients must report their medical history, current medications, allergies, emergency contacts, and any other relevant health information.
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