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THIS FORM CAN NOT BE USED FOR MAKING ANY APPOINTMENTS WITH THE PRACTICE - TO ARRANGE AN APPOINTMENT - PLEASE CALL 01968 672612. WE WILL NOT RESPOND TO THIS REQUEST IF THE REQUEST IS TO MAKE AN APPOINTMENT. By sending in this form you are agreeing to receive email and/or sms communications from us. We will only use this information to communicate with you about Penicuik Medical Practice and the service we provide.

Last Updated: 10/02/2023

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