Question 1 - 5
Write NO MORE THAN ONE WORD OR A NUMBER for each answer.
Oakham Surgery New Patient Form
Example
NEW PATIENT’S ROAD | Answer
Dawson Road |
FULL NAME | Mike 1. |
WIFE’S FIRST NAME | Janet |
CHILDRENS’ FIRST NAMES | 1st 2.
2nd
3rd
4th |
ADDRESS | 52 Dawson Road
3.
Melbourne |
HEALTH CARD NUMBER | 4. |
WIFE’S HEALTH CARD NUMBER | will give later |
PREFERRED DOCTOR SELECTED | 5. White |
Question 6 - 10
Choose appropriate options A, B, C.
6.
When is Mike’s wife’s first appointment?
Friday 21st at 2.00pm.
Friday 21st at 2.30pm.
Friday 21st at 3.30pm.
7.
What is the surgery’s phone number?
7253 9819
7253 9829
7523 9829
8.
What is the name of the girl with whom Mike is speaking at the surgery?
Rachel
Elizabeth
Angela
9.
What’s the night doctor’s mobile number?
0506 759 3856
0506 759 3857
0506 758 3856
10.
Which of the following does the surgery NOT make a charge for?
Travel vaccinations
Consultations
Insurance reports
. . .
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