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Tel: 01506 822665
Out of hours: 111
Bo’ness Health Centre, Dean Road, Bo’ness EH51 0DH
The Richmond Practice
The Richmond Practice
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Menu
Home
About Us
Contact
Contact Telephone Numbers
Location
Making the most of your Practice
Opening Hours
What to do when we are closed
Extended Opening Hours
Practice Team
Clinical Staff
Admin Staff
Health Board Staff
Complaints Procedure
Suggestions
Policies
At the Practice
Baby Friendly
Consent Protocol
Disability Access
Equality and Diversity
Non NHS Services – Chargeable
Non-Smoking Premises
Removal of Patients from our List
Social Media
Shared Decision Making
Zero Tolerance
Data
Data Protection Privacy Notice
eHealth
Freedom of Information
How NHS Scotland manages your Data
Patient Record
Subject Access Requests(SAR)
Accessing your Record
A note about Medical Records
Data Sharing Preferences
Emergency Care Summary Record
Multi-Disciplinary Teams
Organ Donation Scotland
Scottish Primary Care information Resource (SPIRE)
How we use your Data
Privacy Policy
Confidentiality
Online Access
Patient Rights
Entitlement to NHS Treatment
Healthcare for refugees, asylum seekers and overseas visitors
Patient Advice and Support Service (PASS)
NHS Patient Rights
NHS Services – Rights & Responsibilities
Practice Standards of Care
Can I see the GP or Nurse on my own?
Website
Accessibility
Copyright
Disclaimer
Appointments
Who should I see?
Drugs and Alcohol
Emergency
Eye problem
GP Services
Advanced Nurse Practitioner
Advanced Physiotherapy Practitioner
Mental Health Nurse
Practice Nurse
Health Visitor
District Nurse
Midwife
Doctor
Health Board Staff
Minor Injury
Mouth or Dental problem
Pharmacy
Self-care
Sexual Health
Travel Vaccinations
Emergencies
Book an Appointment
Cancel an Appointment
Home Visits
Repeat Prescriptions
Help with your GP Appointment
Clinics & Services
Clinics
Practice Clinics
Other Clinics
Active Forth
Antenatal Care
Child Health Checks
Keep Well Clinic
Practice Services
Advocacy Service
Gluten-free Food Service
Hepatitis B Immunisation
Housebound & Older People
Home Oxygen Treatment
Interpreting Service
National Screening Programmes
Patient Transport Service
Services for Carers
Vaccinations
Register with us as a New Patient
Organ Donation Scotland
Sick/Fit Note
Online Services
Keeping Us Up to Date and Consent Forms
Register for Online Services
Texting Service
Tests & Referrals
Blood Tests
Breathing Tests
Urine Tests
Blood Pressure Tests
X-Rays & Scans
How to get your Results
Self Referral Services
Hospital Referrals
Patient Hospital Appointment Line
Referral to Hospital by your GP
Help & Support
COVID-19 Support
Help & Support Organisations
Resources and Help Mental Wellbeing for Falkirk District
News
The Richmond Practice
>
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Keeping Us Up to Date and Consent Forms
>
Change of Contact Details Form
Change of Contact Details Form
Change of Personal Details
First Name
*
Present Last Name
*
Email
*
Enter Email
Confirm Email
*
Confirm Email
Date of birth
*
Please use format day/month/year e.g. 12/05/1979
I wish to inform the practice of:
*
Change of Name
Change of Address
Change of Phone Number
Change of Email Address
Change of Name
Previous Last Name
*
If your name changed due to Marriage or by Deed Poll please provide the practice with a copy of the appropriate documentation
How do you wish to be known?
*
Dr
Mr
Mrs
Miss
Ms
Other
Other
Change of Address
New address, including postcode
*
Previous address, including postcode
List any other family members, listed with the practice, moving with you
New Phone Number
New phone number
*
May we use this number to contact you by text with appointment reminders?
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Privacy Policy
This form collects your name, date of birth, email, other personal information and medical details. 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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Home
About Us
Contact
Contact Telephone Numbers
Location
Making the most of your Practice
Opening Hours
What to do when we are closed
Extended Opening Hours
Practice Team
Clinical Staff
Admin Staff
Health Board Staff
Complaints Procedure
Suggestions
Policies
At the Practice
Baby Friendly
Consent Protocol
Disability Access
Equality and Diversity
Non NHS Services – Chargeable
Non-Smoking Premises
Removal of Patients from our List
Social Media
Shared Decision Making
Zero Tolerance
Data
Data Protection Privacy Notice
eHealth
Freedom of Information
How NHS Scotland manages your Data
Patient Record
Subject Access Requests(SAR)
Accessing your Record
A note about Medical Records
Data Sharing Preferences
Emergency Care Summary Record
Multi-Disciplinary Teams
Organ Donation Scotland
Scottish Primary Care information Resource (SPIRE)
How we use your Data
Privacy Policy
Confidentiality
Online Access
Patient Rights
Entitlement to NHS Treatment
Healthcare for refugees, asylum seekers and overseas visitors
Patient Advice and Support Service (PASS)
NHS Patient Rights
NHS Services – Rights & Responsibilities
Practice Standards of Care
Can I see the GP or Nurse on my own?
Website
Accessibility
Copyright
Disclaimer
Appointments
Who should I see?
Drugs and Alcohol
Emergency
Eye problem
GP Services
Advanced Nurse Practitioner
Advanced Physiotherapy Practitioner
Mental Health Nurse
Practice Nurse
Health Visitor
District Nurse
Midwife
Doctor
Health Board Staff
Minor Injury
Mouth or Dental problem
Pharmacy
Self-care
Sexual Health
Travel Vaccinations
Emergencies
Book an Appointment
Cancel an Appointment
Home Visits
Repeat Prescriptions
Help with your GP Appointment
Clinics & Services
Clinics
Practice Clinics
Other Clinics
Active Forth
Antenatal Care
Child Health Checks
Keep Well Clinic
Practice Services
Advocacy Service
Gluten-free Food Service
Hepatitis B Immunisation
Housebound & Older People
Home Oxygen Treatment
Interpreting Service
National Screening Programmes
Patient Transport Service
Services for Carers
Vaccinations
Register with us as a New Patient
Organ Donation Scotland
Sick/Fit Note
Online Services
Keeping Us Up to Date and Consent Forms
Register for Online Services
Texting Service
Tests & Referrals
Blood Tests
Breathing Tests
Urine Tests
Blood Pressure Tests
X-Rays & Scans
How to get your Results
Self Referral Services
Hospital Referrals
Patient Hospital Appointment Line
Referral to Hospital by your GP
Help & Support
COVID-19 Support
Help & Support Organisations
Resources and Help Mental Wellbeing for Falkirk District
News
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