Skip to main
Clay Cross Medical Centre
Clay Cross Medical Centre | Bridge Street, Clay Cross, Chesterfield, S45 9NG | Tel: 01246 862237
Clay Cross Medical Centre, Bridge Street,
01246 862237
Tupton Surgery, Queen Victoria Road,
01246 862237
Search
Home
Opening Hours
Staff
Contact Us
Search
Home
Opening Hours
Staff
Contact Us
Enhanced Services
News
Coronavirus Information
Join The Practice
eConsult
Appointments
Prescriptions
Services We Provide
Patient Record
Self Help & Wellbeing
Online Forms
Complaints
Text Reminder Consent Form
Last Updated: 25/09/2019
Your Details
Name
*
Date of Birth
*
Mobile Number
*
Email Address
*
THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA.
*
I consent to the practice collecting and storing my data from this form.
Submit Form
Further Information
Practice Policies
GP Earnings
GDPR and Privacy
CCG
Enhanced Services
×
Translate this website with google
This website uses cookies
We use cookies to improve user experience. Choose what cookies you allow us to use. You can
read more about our cookies
before you choose.
Strictly Necessary
Performance
Targeting
Functionality
Save & Close
Accept all
Decline all