Contact Us

Indigo House

Sussex Avenue

Leeds

LS102LF

Get Directions

Day	Opening hours
Saturday 28 June	Closed

Contact Us

Your Details

Name *

Date of Birth *

Phone Number

Email Address *

Your Comment

Comments *

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data. *

I consent to the practice collecting and storing my data from this form.

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Page last reviewed: 23 April 2024
Page created: 03 September 2018

Page last reviewed: 03 September 2018
Page created: 03 September 2018

Contact Us

Indigo House

Contact Us

Further Information