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BRENTON PARK HEALTH Center NEW PATIENT QUESTIONNAIRE Title: Name: Address: Tel: Mob: Occupation: DOB: Email: Next of Kin: (name, address and contact number)Do you smoke? Lenoir yes how many per day?

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Brunton Park Health Centre is for anyone who requires primary healthcare services. This includes individuals who need regular check-ups, consultations with general practitioners, vaccinations, prescriptions, and assistance with managing chronic conditions. The centre serves the local community, accommodating patients of all ages and backgrounds, ensuring their health and well-being.

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Brunton Park Health Centre is a medical facility offering primary care services to the local community.

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