NHS Health Checks - Decline | redandgreenpractice

NHS Health Checks

To decline your NHS Health Check, please complete and submit the form below.

For more information on NHS Health Checks click here.

Please tick this box to decline your NHS Health Check. You can change your mind at anytime.

Please ensure we have the correct contact details on record for you:

May we send you text messages about your care?

Yes

May we send you emails about your care?

Yes

Please tick this box before submission to acknowledge that this form is being sent un encrypted via the world wide web

The information you have completed in this form will be stored in the Wix Website Editing Software, which is accessed using the practice's Wix login via the world wide web, please tick this box to confirm you are happy for this information to be stored.

If you are not happy to tick the boxes above please write down your details as requested above and return it to the surgery.

Thank you for submitting this form to decline your NHS Health Checks. We will update your records.

Waterside Health Centre

The Red and Green Practice

Waterside (Hythe) and Blackfield Health Centres

Southampton

Partners in the Primary Care Network (PCN)

Blackfield Health Centre

Please ensure we have the correct contact details on record for you: