Tell Us About You

Depending on your ethnicity (where you are from) your risk of some health conditions can vary. For example, people from the BAME community are at higher risk of becoming unwell due to COVID and people from South East Asia have a higher risk of diabetes.

NHS England have asked us to confirm the ethnicity of all our patients.

You can tell us your ethnicity by filling out the form below.

Tell Us About You

Tell Us About You

Section

Please select your ethnic background from the options below: *
White: *
Mixed or Multiple Ethnic Groups: *
Asian or Asian British: *
Black, African, Caribbean or Black British: *
Other Ethnic Group: *