Coil & Implant Removal & Insertion Services

Barton House will soon be offering a clinic to insert and remove contraceptive implants and coils. Should you be interested in either of these services please complete this form and Dr Freeman and Dr Mowete we will get back to you in due course.

PLEASE DO NOT COMPLETE THIS FORM IF YOU NEED TO CONTACT A GP FOR URGENT MEDICAL ADVICE.

Last Updated: 21/10/2022

Your Details

Name *

Date of Birth *

Email Address *

Phone Number

Appointment details: Please choose *

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THIS FORM COLLECTS YOUR NAME, DATE OF BIRTH, EMAIL, OTHER PERSONAL INFORMATION. THIS IS TO CONFIRM YOU ARE REGISTERED WITH THE PRACTICE, TO ALLOW THE PRACTICE TEAM TO CONTACT YOU AND ALSO TO UPDATE YOUR MEDICAL RECORDS HELD BY THE PRACTICE AND OUR PARTNERS IN THE NHS. PLEASE READ OUR PRIVACY POLICY TO DISCOVER HOW WE PROTECT AND MANAGE YOUR SUBMITTED DATA. *

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Coil & Implant Removal & Insertion Services

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