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Patient Data Management Request
First Name
Last Name
E-Mail
NHS or Hospital Number
Address
City
Post Code
Your request?
Request a copy of all my data
Remove my data from the registry
Request a data change
Opt-Out for future communications and questionnaires, leave my data intact
Subject with detailed description of the information you want
Photo ID sent
To allow us to act on this request , please send a copy of your photo ID to bhsregistry@gmail.com. A driving license or a passport copy is ideal.
Success
Thanks for contacting us, we will get back to you shortly. Please forward a copy of your identification document to bhsregistry@gmail.com for us to confirm your request.
SEND
