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Patient Forms

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Change of Details Form

To update the surgery with your change of details, please download, print and complete this form and return it to the surgery.

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Statutory Sick Pay (SSP) Form

This is the standard government statutory sick pay form (SSP), please download and complete this form and hand to your employer for any sick pay entitlement.

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Travel Form

If you are travelling abroad, please download and complete this form to notify your travel company of your status/requirements.

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Medical Records Consent Form

If you would like to view or gain access to your medical records either online or offline, please complete this form and hand back to the practice.

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SMS Consent Form

If you would like to receive SMS text messages from the practice, please complete this form and hand in to reception.

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Dental Problem Form

The Yadava Practice does not handle dental problems or issues. Please download this form for information on what to do in case of dental treatment.

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Cervical Screening Deferral Form

If you wish to postpone your next Cervical Screening, please complete this form and hand into the practice reception.

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Ceasing From Cervical Screening Form

If you wish to be removed from the Cervical Screening Programme, please complete this form and hand into the practice reception.

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Other Information

Practice Information

View practice information and frequently asked questions

Opening Times

Press here for the latest practice opening hours and calendar

Practice Parking

The Yadava Practice has onsite and on road parking, press/click for full details.

Contact The Practice

Find full contact details and how to contact the Yadava Practice