Belsize Priory Medical Practice

0207 328 8200

Communication consent

We use text messages and email to keep patients informed about appointments and other important matters. Please use the form below if you wish to consent to these messages.

Your contact details

Name(Required)
Date of birth(Required)
Email address(Required)

Communication Consent

Can we contact you by text message?
Can we contact you by email?
Not for urgent medical help(Required)
Consent(Required)
This field is for validation purposes and should be left unchanged.