PSA Screening

You have been identified by your GP as being suitable for prostate cancer screening

PSA Screening

Consent

Would you like to participate?
Please find all the information about the program here (link).

Please provide us with your details below, this will enable us to record your consent to your medical record.

Identification Questions

In order to identify patients correctly, we would like you to answer the following questions.

Identification Questions

In order to identify patients correctly, we would like you to answer the following questions.

If you have an NHS login, use it now and save time on filling in some details.



Are you the patient? *

Additional information

Please could you give us your own details first and then provide the patients details

Now can you enter the patients details:

Gender *
Preferred contact: *
Preferred contact:

Please note that the sick note will be sent via email.

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