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The Wycliffe Medical Practice
The Wycliffe Medical Practice Lutterworth Medical Centre Gilmorton Road Lutterworth LE17 4EB
Tel: 01455 553 531
Fax: 01455 550 083
Out of Hours: 111
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Summary Care Record Form

Summary Care Record Form

Please confirm below whether you would like a standard Summary Care Record including just:
• Medication
• Allergies and adverse reactions

Or an Enhanced Summary Care Record including:
• Medication
• Allergies and adverse reactions
• Significant medical history and procedures
• Anticipatory care information
• Immunisations
• End of life care information
• Communication preferences
• Next of Kin

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