Let Us Know If You’ve Served

If you’ve ever served in the Armed Forces, even just for one day, please let us know. We’ll record this in your NHS record so you can access:

  • Specialist support services for veterans
  • Faster referrals for military related health concerns
  • Better understanding of your unique needs

If you’re a partner, child, parent or close family member of someone who has served or is serving, tell us that too – support is out there for you as well. You can tell us when you next come in, mention it in your next message to us, or use the form below. It helps us help you better. It helps us help you better. Find out how we support Veterans here

Let Us Know If You’ve Served

If you’ve ever served in the Armed Forces, even just for one day, please let us know. We’ll record this in your NHS record so you can access: - Specialist support services for veterans - Faster referrals for military-related health concerns - Better understanding of your unique needs If you’re a partner, child, parent or close family member of someone who has served or is serving, tell us that too – support is out there for you as well. You can tell us when you next come in, or just mention it in your next message to us. It helps us help you better.

"*" indicates required fields

Your Details

Please note: This form is reviewed less frequently than our main contact channels because it’s only for updating your record with veteran or family service details. If you have a medical query, need action on your care, or wish to raise a complaint, please contact us through the usual routes listed on our website.
Name*
DD slash MM slash YYYY
Are you telling us about your own service or a family member's?*
Branch of Armed Forces*

Did you or your family member serve for at least one day?*

Service Details

You do not have to provide these now, but they may be required for any referrals down the line.
MM slash DD slash YYYY
MM slash DD slash YYYY
Were you a reservist?

Consent

Do you consent to update NHS record with veteran / armed forces family code
Your information will only be used to update your NHS record and connect you to appropriate services. It won’t be shared beyond your record without your consent.
Do you consent to us contacting you regarding this form?
In case we may need to follow up for more information, to clarify anything on this form, or to ask any follow up questions

Thank you for telling us

If you have consented to us doing so, our team will ensure your record is updated.

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