← Clinic, lab & pharmacy
New patient registration
Contact details before the first visit, with consent. No medical questions: add your own.
The questions
- 01Full nameshort answer
- 02Date of birthdate
- 03Genderone choice
- 04Mobile numberphone
- 05Emergency contact (name and phone)short answer
- 06How did you hear about us?one choice
- 07I agree that the clinic may keep these details to arrange my care and contact me about it.consent
More for clinic, lab & pharmacy
Patient visit experienceAfter a consultation: reception, waiting, the doctor, and recommending the clinic.Waiting time checkTwo questions on a QR in the waiting room: how long, and how it felt.Lab sample collectionHome or centre collection: punctuality, hygiene, comfort and reports on time.Pharmacy serviceAvailability, advice, billing and delivery for a chemist or pharmacy chain.