SMS Consent Form for Blood Test Results

The Practice is now in a position to communicate with you via text to your mobile phone. The service is one way ONLY—Practice to Patient.

If your blood result is normal, you will not hear from us. However, if the test needs to be repeated or a different test carried out, we will make contact with you by text to this mobile number.

Last Updated: 07/07/2023

Your Details

Name *

Date of Birth *

Mobile Number *

Email Address *

THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA. *

I consent to the practice collecting and storing my data from this form.

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SMS Consent Form for Blood Test Results

Further Information