Get the free I will contact the practice as soon as possible if I suspect that my account

ST LAKES SURGERY Application for online access to my medical record Surname: First name: Address:Date of birth:Postcode : Email address: Telephone number: Mobile number: I wish to have access to the

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5. Click on the submit button to send the form.
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What is i will contact form?

{"answer": "The 'I Will Contact Form' is a form used to gather contact information from individuals who wish to be contacted for a specific purpose."}

Who is required to file i will contact form?

{"answer": "Individuals who want to be contacted for a specific purpose are required to file the 'I Will Contact Form'."}

How to fill out i will contact form?

{"answer": "To fill out the 'I Will Contact Form', simply provide your name, contact information, and the reason you wish to be contacted."}

What is the purpose of i will contact form?

{"answer": "The purpose of the 'I Will Contact Form' is to collect contact information from individuals who want to be contacted for a specific purpose."}

What information must be reported on i will contact form?

{"answer": "The information that must be reported on the 'I Will Contact Form' includes name, contact information, and reason for wanting to be contacted."}