NHS Richmond

The practice is part of NHS Richmond. They can be contacted at:

The Civic Centre
York Street
Twickenham
TW1 3BZ
Tel: 020 8734 3000

PALS (Patient Advice & Liaison Service) is available to patients, should they have concerns or need support with regards to NHS care. Call 020 8734 3001 or http://www.richmondccg.nhs.uk/Pages/Contact%20us/Contact-us.aspx

Update your Details

Order your Prescriptions

Online Services

Patient Participation Group

Download Practice Leaflet

Friends & Family Test

Consent to Summary Care Record

Opening Times

Monday
08:30 until 18:00
Tuesday
08:30 until 18:00
Wednesday
08:30 until 20:30
Evening Surgery with Advanced Nurse Practitioner, Practice Nurse or GP
Thursday
07:00 until 18:00
Phlebotomy Services available from 7am
Friday
08:30 until 18:00
Saturday
CLOSED
Sunday
CLOSED

Consent to Summary Care Record

Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email
Yes – I would like a Summary Care Record and express consent for medication, allergies, adverse reactions and additional information
- YES
Yes – I would like a Summary Care Record and express consent for medication, allergies and adverse reactions only
- YES
No – I would not like a Summary Care Record
- NO
Express dissent for Summary Care Record (opt out).
Signature
NHS Number (if known)
NOT THE PATIENT?
If you are filling out this form on behalf of another person, please ensure that you fill out their details above; you sign the form above and provide your details below:
Name
First Last
Relationship to Patient
- Parent
- Legal Guardian
- Lasting Power of Attorney
Email
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