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COVID-19: Occupation Details for Frontline Healthcare & Social Care Staff
If you are Blackthorn Health Centre or Bursledon Surgery patient, please use the form below to inform us if you are a Healthcare or Social Care worker.
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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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