Farnham Park Health Group

01252 723122

Please call after 11:00am for
all general enquiries

Please use askmyGP 8am to 3pm Monday to Friday. Between 3pm and 6.30pm please call the surgery if it is urgent
Please use askmyGP 8am to 3pm Monday to Friday. Between 3pm and 6.30pm please call the surgery if it is urgent.

Patient Ethnic Origin Questionnaire

Patient Ethnic Origin Questionnaire

Name(Required)
MM slash DD slash YYYY
British or Mixed British
Black
Mixed ethnic background
Asian