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Demo clinic
Multi Specialty Clinic
Referral request
Referral request
Named GP (if known):
Who would you like a referral to?
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Why do you need this referral?
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Terms and conditions
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I confirm that this is not an emergency and understand the surgery cannot help while it is closed. If I need help right now, I will use the NHS 111 service. In an emergency, I will call 999 or go to A&E.
If you are human, leave this field blank.
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