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Components in details

Checkboxes
What is your nationality?
If you have more than 1 nationality, select all options that are relevant to you
Radios
Have you changed your name?
This includes changing your last name or spelling your name differently
Small checkboxes
Display
Small radios
Include
Inputs
Do not include personal information like your name, date of birth or NHS number
What is your date of birth?
Buttons
Expander
Get your medical records

You can see your GP records by:

  • asking for them at your GP surgery
  • going online to see them (if you have signed up for GP online services)
Lists

Do

Don't

  • do not
  • do not
  • do not
  • do not