Consultant referral request

Complete this form if you would like to request a GP referral, someone will contact you shortly to make the arrangements.

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I confirm that I have read and I understand the terms and conditions contained on this Web site. I further understand that totalhealth will where appropriate refer this enquiry to the office of a relevant medical practitioner who will then contact you directly. I authorise totalhealth to make this referral and any subsequent follow-up enquiries that are necessary for the purposes of monitoring levels of service provision and satisfaction.