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How to make an appointment
Lancashire Gynaecology Associates
To make an appointment simply contact us by email link to appointment form or by telephone on 01254 507 607
Appointment form
FIRST NAME*:
LAST NAME*:
Email*:
ADDRESS*:
POSTCODE*:
TEL*:
DATE OF BIRTH*:
BRIEF DESCRIPTION OF SYMPTOMS(PLEASE SELECT):
Select
Abnormal smear
Heavy bleeding
Incontinence
Infertility
Prolapse
Other
OTHER PLEASE STATE:
DATE SYMPTOMS STARTED:
GP:
PREFERRED APPOINTMENT TIME:
Morning
Afternoon
Evening
HOW YOU HEARD ABOUT LGA:
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Internet search
Local knowledge
Event
Word of Mouth
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Fields marked* must be completed
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Lancashire Gynaecology Associates
CONTACT US
Lancashire Gynaecology Associates
BMI The Beardwood Hospital
Preston New Road
Blackburn
BB2 7AE
Tel:
01254 507 607
Fax:
01254 597696
Directions to:
The Beardwood Hospital
©Lancashire Gynaecology Associates
BMI The Beardwood Hospital
Preston New Road
Blackburn
BB2 7AE
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