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Identification Upload

Identification Upload

Please only use this form if we have asked you to submit identification documents electronically.

We require two forms of ID:

  • Photo ID
  • Proof of Address

Acceptable Identification: Photo Driving License, Passport, Tenancy agreement, Mortgage statement, Bank statement, Utility bill (date within the past 3 months) etc.

We will not store these documents and we will securely delete / destroy them after our initial verification.

Privacy Consent

This form collects personal and medical information about you. 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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