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Park Terrace Medical Practice > Your Record > Keep us up to Date > Photo Upload

Photo Upload

If you have been asked to send a clinical photo or a document please use the upload form below. It is very simple to use.

Please do not upload documents or images unless you have spoken to our team first. This will then be sent to our secure NHS mailbox and any photos or documents added to you clinical record.

Once our clinicians have reviewed your photos or documents we will be in contact via phone or possibly video in the next 24 hours.

File upload

First Name *

Last Name *

Email *

Enter Email

Confirm Email *

Confirm Email

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Telephone number for us to contact you *

File Upload

Maximum file size: 10MB

We accept, jpg, gif, png, tif, pdf and Word files up to a maximum of 10MB.

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.

The internet is not a secure place, however, we have gone to great steps in making sure the information you submit to us is as secure as possible. We use SSL (Secure Socket Layer) certificates to encrypt the communication between your computer and our web server. If you are not completely happy to provide information via the internet please contact the practice directly.

I consent to the practice collecting and storing my data from this form.

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Photo Upload

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