Patient Information Update
We need your email address and mobile number
Crawley Down Health Centre are currently collecting mobile phone numbers and email addresses of our patients. This information would be helpful for several reasons - we can remind you of your appointments at the surgery and we can also send out reminders for periodic medical reviews that might be due and specific to you. If you are happy to provide us with your contact details for this purpose, Click Here to Download the PDF Form (PDF, 75KB) and drop it into the surgery or complete the form online below.
Consent to speak to a 3rd party
So that we can leave messages with friends/family should we not be able to contact you or so that they are able to request results etc on your behalf, we need you written consent. Please download the file below and return it to a receptionist.
Consent Form - Download (.docx)
Patient Information Update
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.