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Caution
Please note that the forms in this section are not to be used for clinical or medical purposes, such as new referrals, appointment, prescription, or medical certificate requests. Any such requests fitting this or similar criteria will not be dealt with.
These forms are used for queries regarding our services, comments, suggestions, complaints, feedback and administrative queries (not requests) only, which will be triaged and sent to the appropriate team.
Any inappropriately submitted requests may be discarded by Bethesda without prior warning.
To update your basic health record only (height, weight, and blood pressure), please use the form which can be found here.
To submit a clinical or medical query, please use our eConsult service.
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- This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
- Please read our Privacy Policy to discover how we protect and manage your submitted data.
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