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Aspire Medical Health at Conway PMS Providing NHS services
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BBC Health News

  • Doctors strikes: BMA and Streeting talks 'constructive'17 Jul 2025 19:00Resident doctors will walk out for five consecutive days from 25 July over a dispute about pay.
  • 'Unfair' NHS wait lists revealed in official report17 Jul 2025 16:16Data for the NHS in England shows the waiting list for gynaecology is one of the largest.
  • Babies made using three people's DNA are born free of hereditary disease16 Jul 2025 22:00The method was pioneered by UK scientists to overcome devastating, often fatal inherited diseases.
  • New science centre aims to help fight pandemics17 Jul 2025 11:42The government wants to invest billions to make the National Biosecurity Centre the largest in Europe.
  • Physician associates need new job title, says review16 Jul 2025 15:02It also recommends PAs and AAs wear standardised clothing and badges to distinguish them from doctors.
  • Biggest human imaging study scans 100,000th person15 Jul 2025 00:40UK Biobank scientists say the human body can be studied in greater detail than ever thanks to people like Steve.
Home > Ethnicity Data Form

Ethnicity Data Form

It is important that we have your ethnicity on your record. Covid-19 highlighted that some conditions can affect ethnic groups differently. Recordng this information helps us to identify the different risk levels for our patients and plan accordingly.

Ethnicity Data Form

If you are completing the form for someone else, put their information in the patient details section and your contact details in the contact information section

Patient Details
Contact Information

Select the option that best describes your ethnic group or background from the options below

White:
Asian or Asian British:
Black or Black British:
Other ethnic group

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Plumstead (Main Branch)

Plumstead (Main Branch), 44 Conway Road, Plumstead, London, SE18 1AH

  • 020 8854 2042

Welling (Branch Site) - Temporarily Closed Until Further Notice

142-146 Bellegrove Road, Welling, Kent, DA16 3QR

  • 020 8854 2042
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