Thank you for taking your time to fill out the registration form below prior to attending your appointment or class.

Personal Details

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I confirm that the information given is accurate and consent to be treated at TOPS. I consent to TOPS holding my data solely for the purpose of treatment and acknowledge that as part of my treatment certain communication will be required. I acknowledge that appointments cancelled with less than 24 hours’ notice may be subject to a charge. tops:health operates in accordance with the General Data Protection Regulations (GDPR). Your medical records will be stored electronically and accessed by authorised personnel only. Disclosures may be made to health professionals, including your GP and certain third parties that need access to them to provide health care services to you (for example, imaging services). tops:health may use your medical information on a strictly anonymous basis for teaching, research and audit purposes