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Contact us about a patient

Please use this form if you are a healthcare professional and would like to get in touch about an NHS Right to Choose or private patient.

If you're worried about a patient's safety or wellbeing but it isn't an emergency, please select 'Urgent Patient Enquiry' below.

Please read our privacy notice before you complete this form

We'll use your details to read and respond to your enquiry, send it to the right team, including our clinical team, and keep a record of it. Your name, organisation, email and phone number are used only to contact you about this enquiry. If your message includes information about a patient, it may be added to that patient's care record, so please include only what's needed. We may check your identity before sharing any patient information with you. This form is for healthcare professionals only; if you're a patient, please use another form. If you're worried about a patient's safety but it isn't an emergency, choose 'Urgent Patient Enquiry'. 

We're responsible for your information

We share it only with the providers that help us run this service and with anyone else mentioned above. You have rights over your information, including the right to access or correct it. You can raise a concern with us by email or with the ICO. Read our Privacy Policy. 

Healthcare Professional Acknowledgment (required)

Important Notice: This form is specifically for healthcare professionals. If you are a patient please use alternative forms available in the Contact Us page. Please confirm that you are a healthcare professional.