Text and Email Reminders

Please use the form below to consent for Hungerford Surgery contacting you via text message and email to contact you about your heatlhcare.

We are able to send you information messages which are relevant to you, such as reminders to book any regular clinics you attend or an appointment for seasonal flu vaccines or any other important information.

Please complete the form below to begin using this service.

1First Name
 
2Surname
 
3Date of Birth, dd/mm/yyyy
 
4Email Address
 
5Mobile Number
 
6I agree and confirm the above details are correct
 
7Date, dd/mm/yyyy
 
8By completing this form you are consenting to Hungerford Surgery contacting you by SMS text message on your designated mobile number and/or by email on your given email adddress regarding information about your healthcare. You also agree that you have read and understood the information provided here