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BLANDFORD MEDICAL CENTRE Mace Avenue Braintree Essex CM7 2AE Telephone 01376 347100 Fax 01376 349934 www. If I see information in my record that is not about me or is inaccurate I will contact the practice as soon as possible Signature Date For practice use only Patient NHS number Identity verified by initials Practice computer ID number Authorised by Method Vouching Vouching with information in record Photo ID and proof of residence Date account created Date passphrase sent Level of...
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