National Child Measurement Programme Consent Form
Student Details
Child first name
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Child last name
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Sex
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Female
Male
Prefer not to say
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Date of birth
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01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Required
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Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Required
--
2020
2019
2014
2013
Required
NHS Number
Ethnicity
Please choose...
White British
White Irish
Any other White background
White and Black Caribbean
White and Black African
White and Asian
Any other mixed background
Indian
Pakistani
Bangladeshi
Any other Asian background
Caribbean
African
Any other Black background
Chinese
Any other ethnic group
Prefer not to say
Unknown
Required
Year group
Please choose...
Reception
Year 6
Required
GP Surgery
Please choose...
GP Not Listed
Creffield Medical Group
ABBEY MEADS MEDICAL PRACTICE (SWINDON)
ADDINGTON MEDICAL PRACTICE
ALEXANDER HOUSE SURGERY
ALEXANDRA SURGERY
ASCOT MEDICAL CENTRE
ASHLEA MEDICAL PRACTICE
ASHLEY CENTRE SURGERY
ASHLEY MEDICAL PRACTICE
ASHVILLE SURGERY
AUSTEN ROAD SURGERY
AVISFORD MEDICAL GROUP (SUSSEX
BADGERSWOOD SURGERY
BALHAM PARK SURGERY
BARTLETT GROUP PRACTICE
BENHILL & BELMONT PRACTICE
BENTLEY VILLAGE SURGERY
BERRYLANDS SURGERY
BHATIA (BROAD LANE)
BILLINGSHURST SURGERY
BINSCOMBE MEDICAL CENTRE
BIRCHWOOD MEDICAL PRACTICE
BRADFORD SURGERY (301 EAST STREET)
BRAMBLY'S GRANGE MEDICAL PRACTICE
BRANKSOME WOOD HEALTHCARE CENTRE
BRIDGE MEDICAL CENTRE
BRIDGE PRACTICE
BROCKBANK (PARK ROAD)
BROCKLEBANK GROUP PRACTICE
BROCKWOOD MEDICAL PRACTICE
BROOK GREEN MEDICAL CENTRE
BRUNSWICK SURGERY
CAMBERLEY HEALTH CENTRE
CANBURY MEDICAL CENTRE
CAPELFIELD SURGERY
CARLTON SURGERY
CARSHALTON FIELDS SURGERY
CASTLE PRACTICE
CATERHAM VALLEY MED PRACT
CENTRAL MEDICAL CENTRE
CENTRAL SURGERY
CHAPEL MEDICAL CENTRE (BERKS)
CHARTFIELD SURGERY
CHAWTON PARK SURGERY
CHEAM FAMILY PRACTICE
CHERTSEY HEALTH CENTRE
CHESNUT PRACTICE
CHESSINGTON PARK SURGERY
CHIDDINGFOLD SURGERY
CHILDS (THAMESIDE)
CHINEHAM MEDICAL PRACTICE
CHOBHAM & WEST END MEDICAL PRACTICE
CHURCH STREET PRACTICE
CHURCHILL MEDICAL CENTRE
CLAREMONT MEDICAL CENTRE
Clarence Medical Centre
CLERKLANDS
CLIFFORD HOUSE MEDICAL CENTRE
CLIFT SURGERY
COBHAM HEALTH CENTRE
Colchester Medical Practice
COWPLAIN FAMILY PRACTICE
CRANFORD MEDICAL CENTRE
CRANLEIGH MEDICAL PRACTICE
CRONDALL NEW SURGERY
CROSBY HOUSE SURGERY SLOUGH
CROSSLANDS SURGERY
CROUCH OAK FAMILY PRACTICE
CROWN HEIGHTS MEDICAL CENTRE (BASINGSTOKE)
CROWN WOOD MEDICAL CENTRE
DAPDUNE HOUSE SURGERY
DATCHETT HEALTH CENTRE
DENMEAD HEALTH CENTRE (HAMPSHIRE)
DERBY MEDICAL CENTRE
DORKING MEDICAL PRACTICE
DOWNING STREET GROUP PRACTICE
DOWNLAND SURGERY
DR KOONER AND PARTNERS
DR MANGWANA AND PARTNERS
DR MUKTAR & DR AL-SANJARY
DR NABI (SLOUGH)
DR R J POOL
DR R SCOTT & PARTNERS
DR S MORCOS
DRAYTON SURGERY (PORTSMOUTH)
EARLSFIELD SURGERY
EASTHAMPSTEAD SURGERY
EASTWICK PARK MED PRACT
ELBOROUGH STREET SURGERY
ELIZABETH HOUSE
Elm Lodge Surgery
EMPEROR'S GATE CENTRE FOR HEALTH
ESHER GREEN SURGERY
EVERGREEN PRATICE
FACCINI HOUSE SURGERY
FAIRFIELD MEDICAL CENTRE
FAIRHILL MEDICAL PRACTICE
FAIRLANDS MEDICAL PRACTICE
FALKLAND SURGERY
FAMILY DOCTOR UNIT
FARNHAM DENE MEDICAL PRACTICE
FARNHAM PARK HEALTH GROUP
FARNHAM ROAD PRACTICE
FEATHERSTONE ROAD HEALTH CENTRE
Finchamstead Surgery
FIRSTCARE PRACTICE BLENHEIM CENTRE
FLEET MEDICAL
FLOOD (ESSEX HOUSE)
FORDBRIDGE MEDICAL CENTRE
FOREST HEALTH GROUP
FOREST HEALTHCARE (ESSEX)
FORT HOUSE SURGERY
FOUNTAIN PRACTICE
FRANCIS GROVE SURGERY
GIBSON
GIFFARD DRIVE SURGERY
GIGGS HILL SURGERY
GILL MEDICAL PRACTICE
GLEBE ROAD SURGERY
GLENLYN MEDICAL CENTRE
GOLDSWORTH PARK HEALTH CENTRE
GOLDSWORTH PARK HEALTH CT
GORDON HOUSE SURGERY
GRAND DRIVE SURGERY
GRAND UNION HEALTHCARE
GRAY'S MEDICAL CENTRE
GRAYSHOTT SURGERY
GREAT HOLLANDS PRACTICE
GREEN MEADOW'S SURGERY
GREEN WRYTHE SURGERY
GREENBROOK BEDFONT
GREENSANDS SURGERY (AMPTHILL)
GREYSTONE HOUSE SURGERY
Grosvenor & St James Medical
GROVE MEDICAL CENTRE
GROVE PARK TERRACE SURGERY
GROVE VILLAGE MEDICAL CENTRE
GROVELANDS MEDICAL CENTRE
GUILDFORD RIVERS PRACTICE
GUILDOWNS GROUP PRACTICE
HACKBRIDGE MEDICAL CENTRE
HAMPTON MEDICAL CENTRE
HASLEMERE HEALTH CENTRE
HAWTHORNS SURGERY
HEART OF HOUNSLOW
HEATHCOT MEDICAL PRACTICE
HEATHCOTE MEDICAL CENTRE
HEATHERSIDE SURGERY
HEATHROW MEDICAL CENTRE
HERNE HILL GROUP PRACTICE
HERSCHEL MEDICAL CENTRE
HERSHAM SURGERY
HESTON HEALTH CENTRE
HILLCREST SURGERY
HILLVIEW MEDICAL CENTRE
HOLBROOK SURGERY (HORSHAM)
HOLLY TREE SURGERY
HOLMHURST MEDICAL CENTRE
HOLMWOOD CORNER SURGERY
HOOK SURGERY
HORNDEAN SURGERY
HOUNSLOW MEDICAL CENTRE
HUDSON SEYMOUR HOUSE
HYTHE MEDICAL CENTRE SURGERY
Ifield Medical Practice
ISLEWORTH HEALTH CENTRE
JAMES O'RIORDAN MEDICAL CENTRE
JENNER HOUSE SURGERY
JOHAL (TWICKENHAM PARK)
Johnson (Sheen Lane)
JUBILEE SURGERY (TWICKENHAM)
Kensington Park Medical Centre
KESTON MEDICAL PRACTICE
KINGS CORNER SURGERY
KINGSDOWNE SURGERY
KINGSTON HEALTH CENTRE
KINGSWAY SURGERY HAYES
KNIGHTSBRIDGE MEDICAL CENTRE
KNOWLE GREEN MEDICAL
LAMBTON ROAD MEDICAL PRACTICE
LANGLEY MEDICAL PRACTICE
LANTERN SURGERY
LAVANT ROAD SURGERY
LAVENDER HILL GROUP PRACTICE
LEE HOUSE SURGERY
LEITH HILL PRACTICE
LIGHTWATER SURGERY
Lime Tree Surgery
Linden Medical Centre
LINGFIELD SURGERY
LIPHOOK AND LISS SURGERY
LITTLE PARK SURGERY FELTHAM
LITTLETON SURGERY
LONGCROFT CLINIC
LOXWOOD SURGERY
MADEIRA MEDICAL
MAGNOLIA HOUSE SURGERY
MAIDA VALE MEDICAL CENTRE
MANOR DRIVE MEDICAL CENTRE
Manor Park Medical Centre
MASWELL PARK HEATH CENTRE
MAYBURY SURGERY
MAYFIELD MEDICAL CENTRE
Mayfield Surgery
Meadows Surgery
MEDWYN SURGERY
MERROW PARK SURGERY
MIDDLETON LODGE PRACTICE
MOAT HOUSE SURGERY
MOLEBRIDGE PRACTICE
MOORLAND ROAD SURGERY
Morden Hall Medical Centre
MOUNT MEDICAL CENTRE HANWORTH
NEW OTTERSHAW SURGERY
NEW WOKINGHAM ROAD SURGERY
NEXUS HEALTH GROUP (LONDON)
NORK CLINIC
NORTH CAMP SURGERY
NORTH HYDE ROAD SURGERY
NORTHFIELDS SURGERY
OAKLANDS SURGERY (SOMERSET)
ODIHAM HEALTH CENTRE (HAMPSHIRE)
O'DONNELL CROSSDEEP
O'FLYNN (HAMPTON WICK)
OLD COULSDON MEDICAL PRACTICE
OLD DEAN SURGERY
OLDFIELD FAMILY PRACTICE
ORCHARD SURGERY (HORSHAM)
OXSHOTT MEDICAL PRACTICE
OXTED HEALTH CENTRE
PARADISE ROAD SURGERY
PARISHES BRIDGE MED PRACT
PARK END SURGERY
PARK HOUSE SURGERY
PARK ROAD GROUP PRACTICE
PARK ROAD MEDICAL CENTRE
PARKSHOT MEDICAL PRACTICE
PARKSIDE GROUP PRACTICE
PENNYCOOK (HAMPTON HILL)
Penrose Surgery
PENTELOW PRACTICE
PINEHILL SURGERY
PIRBRIGHT MEDICAL CENTRE (ALEXANDER BARRACKS)
PIRBRIGHT SURGERY
Please choose...
POND TAIL SURGERY
PRINCES GARDEN SURGERY
PULBOROUGH MEDICAL GROUP
PUTNEYMEAD GROUP MEDICAL PRACTICE
QUEENS PARK MEDICAL PRACTICE
RED LION ROAD SURGERY
REDWOOD PRACTICE (TWICKENHAM)
REEPHAM & AYLSHAM MEDICAL PRACTICE
RICHFORD GATE MEDICAL CENTRE
RICHMOND MEDICAL GROUP
RICHMOND SURGERY (FLEET)
RINGMEAD MEDICAL PRACTICE
RIVERBANK MEDICAL CENTRE
RIVERBANK SURGERY
RIVERHOUSE MEDICAL PRACTICE
RIVERSIDE PARTNERSHIP
ROSELAWN
ROWAN TREE PRACTICE
RUDGWICK MEDICAL
RUDGWICK MEDICAL CENTRE
RUNNYMEDE MEDICAL PRACTICE
SANDHURST MEDICAL CENTRE
SCARSDALE MEDICAL CENTRE
SHADBOLT PARK HOUSE SURG
SHEERWATER HEALTH CENTRE
SHEET STREET SURGERY
SHEPPERTON MEDICAL PRACTICE
SHERE SURGERY/DISPENSARY
SHOTFIELD MEDICAL PRACTICE
SMALLFIELD SURGERY
SOOD (THE GREEN AND FIR ROAD)
SOUTH MEADOW SURGERY
SOUTH PARK
SOUTHVIEW MEDICAL PRACTICE
SPRING STREET SURGERY
SPRINGFIELD SURGERY
SPRINGMEAD SURGERY,CHARD
ST LUKE'S SURGERY
ST NICOLAS SURGERY
ST ALBANS MEDICAL CENTRE
ST DAVIDS FAMILY PRACTICE
ST DAVIDS PRACTICE FELTHAM
ST JAMES'S MEDICAL CENTRE
ST JOHN'S FAMILY PRACTICE
ST MARGARETS PRACTICE
ST STEPHENS HOUSE SURGERY
STAINES HEALTH GROUP
STAINES ROAD MEDICAL CENTRE TWICKENHAM
STANWELL ROAD SURGERY
STATION ROAD SURGERY
STAVERTON SURGERY
STONECOT SURGERY
STONELEIGH SURGERY
STUDHOLME MEDICAL CENTRE
SUNBURY GROUP PRACTICE
SUNNY MEED SURGERY
SUNRAY SURGERY
SWALLOWFIELD MEDICAL PRACTICE
SWAN MEDICAL GROUP
TADWORTH MEDICAL CENTRE
TAMAR VALLEY HEALTH (CORNWALL)
TATTENHAM HEALTH CENTRE
THE ALLEN PRACTICE CALCOT MEDICAL CENTRE
THE ANDOVER HEALTH CENTRE MEDICAL PRACTICE
THE BEECHES SURGERY
THE BORDER PRACTICE
THE CAMBRIDGE PRACTICE
THE CHESSER SURGERY
THE CLANFIELD PRACTICE
THE CORFTON ROAD SURGERY
THE CORNER SURGERY
THE COURTYARD SURGERY
THE CROFT SURGERY (SUSSEX)
THE CUCKOO LANE PRACTICE
THE GAINSBOROUGH PRACTICE
The Good Practice
THE GP CENTRE
THE GRANGE SURGERY (HAMPSHIRE)
THE GREYSWOOD PRACTICE
THE GROVE ROAD PRACTICE
THE GROVES MEDICAL CENTRE
THE HEALTH CENTRE (ROBIN HOOD LANE)
THE HEATHBRIDGE PRACTICE
THE HORSLEY MEDICAL PRACTICE
THE INTEGRATED CARE PARTNERSHIP
THE MEDICAL CENTRE
THE MEDICAL CENTRE
THE MILL HILL SURGERY
THE MILL MEDICAL PRACTICE
THE MOORINGS MEDICAL PRACTICE
THE MWH PRACTICE BROADWAY HEALTH CENTRE
THE NELSON MEDICAL PRACTICE
THE OAKLEY HEALTH GROUP
THE OLD COURT HOUSE SURGERY
THE ORCHARD PRACTICE
THE ORCHARD SURGERY
THE PARK SURGERY
THE PEARTREE PRACTICE (HAMPSHIRE)
THE PETWORTH SURGERY
THE PRACTICE COLLEGE ROAD
THE PRACTICE FELTHAM
THE RED PRACTICE WALTON
THE REDCLIFFE SURGERY
THE SANDHURST PRACTICE
THE SPEEDWELL PRACTICE
THE SURGERY - 181 CARSHALTON ROAD
THE SURGERY - 48 MULGRAVE ROAD
THE VALE SURGERY
THE VILLAGE MEDICAL CENTRE (BERKSHIRE)
THE VILLAGE SURGERY (HORSHAM)
THE VINE MEDICAL GROUP
THE VINEYARD HILL ROAD SURGERY
THE VINEYARD SURGERY
THE WALL HOUSE SURGERY
THE WATERCRESS MEDICAL GROUP
THE WATERFIELD PRACTICE
THE WELLINGTON PRACTICE
THE WRYTE GREEN SURGERY
THE YELLOW PRACTICE
THORKHILL SURGERY
THURLEIGH ROAD PRACTICE
TOWNHILL MEDICAL PRACTICE
TRINITY MEDICAL CENTRE
TUDOR LODGE HEALTH CENTRE
TUDOR WAY SURGERY
TWICKENHAM PARK MEDICAL CENTRE
UNIVERSITY MEDICAL GROUP
UNKNOWN
UPPER GORDON ROAD SURGERY
UPPER HALLIFORD MEDICAL CENTRE
VENTNOR MEDICAL CENTRE (ISLE OF WIGHT)
VILLAGE SURGERY (NEW MALDEN)
VILLAGES MEDICAL CTR
VINE MEDICAL CENTRE
VIRGINIA WATER MEDICAL PRACTICE
VOYAGER HEALTH GROUP
WALLINGTON FAMILY PRACTICE
WARLINGHAM GREEN MED PRAC
WAYSIDE MEDICAL PRACTICE
WELLESLEY ROAD PRACTICE
WEST BARNES SURGERY
WEST MEON SURGERY (HAMPSHIRE)
WEY FAMILY PRACTICE
WEYBRIDGE HOSP & PRIMARY CARE CTR WIC
WHITE HOUSE SURGERY
WHITEWATER HEALTH GROUP
WHYTELEAFE SURGERY
WILLOW PRACTICE
WILSON PRACTICE
WIMBLEDON MEDICAL PRACTICE
WIMBLEDON VILLAGE PRACTICE
WINCANTON HEALTH CENTRE
WITLEY SURGERY
WODEN ROAD SURGERY (WOLVERHAMPTON)
WOKING COMMUNITY HOSPITAL WIC
WONERSH SURGERY
WOODBRIDGE HILL SURGERY
WOODCOTE MEDICAL
WOODLANDS ROAD MEDICAL CENTRE
WOOSEHILL PRACTICE
WORDEN MEDICAL CENTRE (LANC)
YORK MEDICAL PRACTICE