Communication consent

You can now register to receive information by text message or email regarding appointments and health care.

If you wish to register for this service please complete the online form below.

Name(Required)

First name(s) Last name

Date of birth(Required)

Home phone number

Mobile phone number(Required)

Email address(Required)

Enter Email Confirm Email

Can we contact you by text message?(Required)

Yes

Can we contact you by email?(Required)

Yes

Not for urgent medical help(Required)

Yes, I understand this form is NOT for urgent medical help