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128 Woodford Avenue
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020 8551 9336

Please ensure you have completed this Lone Attendance form prior to your child’s appointment.

For parents or guardians of patients under the age of 16 or those unable to provide valid consent for themselves.

This is a confidential form and will be stored in accordance with the General Data Protection Regulation 2018.

This Lone Attendance Form is Valid for the duration of your child’s treatment. You may withdraw your consent at any time.

What’s next?

Have you completed all of the e-Documents that are required prior to your appointment?

Please refer to your Pre-Arrival email sent to you from the practice, please check your spam and junk folders too.

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