Decline an annual health review, assessment or vaccination

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

Start now

You can also phone us on 0161 871 2450.