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Carer Registration

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It is important that we know if you are a carer so that we can make sure you receive information, services and the help that is available

If you are a carer please complete this form

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All questions marked with a * are mandatory

Your Details

Please double check you've entered the correct email address

May be used to identify you

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Details Of Person Being Care For

Is the person you care for a patient at this surgery?:

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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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If the error persists please contact us.

Care Quality Commission
Overall Rating: Good

Kent House Surgery
36 Station Road
Longfield
Kent
DA3 7QD

Telephone: 01474 702 127

New Ash Green Surgery
New Ash Green
Longfield
Kent
DA3 8RH

Telephone: 01474 873 828