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Record your ethnicity

Use this service to record your ethnicity in your health record.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
  • your ethnicity
Start now

You can also phone us on 020 3474 5499.