Test Results Form

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This form to can be used to request details of your recent blood test or other medical diagnostic test.

You can get your test results through the NHS App?

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All questions marked with a * are mandatory

Personal Details

Please double check you've entered the correct email address

May be used to identify you

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Test Results

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This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
Please read our Privacy Policy to discover how we protect and manage your submitted data.

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