Walsall CCG registration form for public consultation events

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* 1. Which event would you like to attend?

Procedures of Lower Clinical Value, Stroke consultation and Urgent care consultation event- Thursday 7th September from 10am – 12pm at: Frank F Harrison Community Association, Stephenson Square, Walsall. WS2 7DY

Stroke consultation and Urgent care consultation event- Wednesday 13th September from 3pm – 5pm at: Forest Arts Centre, Hawbush Road, Walsall. WS3 1AG

Stroke consultation and Urgent care consultation event-Wednesday 20th September from 10am – 12pm at: Aldridge Community Centre, Middlemore Lane, Walsall. WS9 8AN

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* 2. First name?

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* 3. Surname?

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* 4. Contact telephone number?

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* 5. Email address?

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* 6. Do you have any access requirements?