Immunisation test

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About Us
Appointments and Easy Access
Foundry Noticeboard
- News & Updates
- Community Information Board
Patient Information
Clinics & Services
Engagement Hub
- Friends and Family Test
- Inspection / Survey results
Contact Us
- Anima
- Feedback, Compliments and Complaints

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Privacy Notice
Zero Tolerance Practice Policy
Provision of Direct Care
GP Earnings
National screening programmes
Legal requirement to share data
Staff Login

NHS

Home new - Immunisation test

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Have you had a shingles vaccination in the past?

Yes

No

Date of birth(Required)

The DOB you enter must match your medical records

DD slash MM slash YYYY

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Today

DD slash MM slash YYYY

Hidden

Sept1

DD slash MM slash YYYY

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Age today hidden

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Age today

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Age Sept 1 2023

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Age Sept 1 2023

Do you have a severely weakened immune system?

Yes

No

You are eligible for a shingles vaccination

You are not eligible for a shingles vaccination

You are not eligible for a shingles vaccination.

Please tick this box to consent to the storage of your information for this purpose(Required)

I consent to storage of my information

Please tick this box to consent to the storage of your information for this purpose(Required)

I consent to storage of my information

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Privacy Notice
Zero Tolerance Practice Policy
Provision of Direct Care
GP Earnings
National screening programmes
Legal requirement to share data
Staff Login

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NHS

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01273 480888
sxicb-esx.foundryhealthcarelewes@nhs.net

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