Please contact my private secretary
Jane Richards
01625507472
Alternatively, complete this form online and we will contact you to arrange an appointment
By completing and submitting the following, you agree to send an email to secretary@cheshire-ent.com containing the information in this form. This information is collected and used for the sole purpose to arrange an outpatient consultation as requested by yourself. It will be only shared with the hospital or clinic where the outpatient consultation will take place in order to create your hospital file and for subsequent communications with yourself and your GP. Under the GDPR, Cheshire-ent is committed to protecting your personal information and will not share or use the information you provide for any other purposes than those outlined here and will not retain the information for longer than necessary.