If you have been invited to an annual health review/assessment or vaccination and would like to decline, please submit this form.
You can use this service if you:
- are registered at the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on 0161 871 2450.
