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New asylum seeker registration

New Asylum Seeker Registration
Required fields are labelled

Patient’s Details

Title Required
Please use this date format: DD/MM/YYYY
Sex Required
Current hotel: Required
Do you need an interpreter for appointments: Required
Have you previously lived in another part of the UK? Required

Appointment Details

Do you want a face-to-face new patient medical assessment with a GP? Required

Tuberculosis

Do you currently have any of the following symptoms lasting for more than 3 – 4 weeks?
Tick all that apply
Have you had tuberculosis in the past? Required

Current Medical Problems

Do you have any of the following symptoms?
Tick all that apply
Have you ever had any of the following?
Tick all that apply

Mental Health

Do you currently have any of the following symptoms?
Tick all that apply