Miss Lizzie Bean asks that you complete a new patient questionnaire before your first appointment.

 

This is designed to gather information we need in order to contact you and send documentation. We also collect information about your symptoms and medical history. This will ensure we maximise the time you have during your consulation to discuss treatment options. The information generated by this questionnaire will be sent directly to Miss Bean's secretary at drlizziebeansecretary@outlook.com.

 

You will not be asked for any bank account details on this form.

 

All data received will remain confidential and stored securely in line with general data protection regulation (GDPR).

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Please use the QR code below if you have scheduled a new patient consultation with Miss Bean and have been asked to complete a new patient questionnaire.