Accessible Information Standard Questionnaire

It’s a legal requirement, according to the Equality Act 2010, to make all of our information accessible. We must also follow the Accessible Regulations 2018 for all of our websites, intranets, apps and online documents. All organisations that provide NHS or adult social care must follow the Accessible Information Standard by law. These standard include making sure that people get information in different formats if they need it, such as: large print, braille, easy read, email etc.

 Please complete this questionnaire to let us know if you require any communication or information support needs.

Last Updated: 18/02/2024

  • Demographics

    Date of birth
    For example, 15 3 1984
    What is your preferred method of communication? (optional)
    Do you require any of the following? (optional)
    How would you prefer us to give you information? (optional)
    How would you prefer us to contact you? (optional)
    Do you prefer your written information in any of the following formats? (optional)
    Do you currently use any of the following? (optional)

  • Privacy Policy

    This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

     

    I consent to the practice collecting and storing my data from this form.
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