Ethnicity Questionnaire

The pandemic, amongst other things, has highlighted to us that COVID-19 (and some other diseases/conditions) can disproportionately affect different ethnicities.

It is important that we hold your ethnicity status so that we can ensure you are receiving the best quality healthcare (e.g. being including the correct at risk groups where necessary).

Please update us with your ethnicity status using the form below. If you would prefer not to disclose this information please choose this option on the form below and your choice will be recorded on your medical record.

Last Updated: 30/06/2022

Your Details





What is your ethnic group?



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