General Enquiry

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General Enquiry

General enquiry

Please use this form to submit a general query. If your query is about a specific member, please return to the Payment Support Service page to find the relevant section.

Provider type (required) Hospital/Out-patient Clinic Individual provider Group Practice

Provider or GMC number (required)

Provider name (required)

Email (required)

Contact name (required)

Contact telephone number (required)

Stage of enquiry (required) First Contact Chasing a previous enquiry

Further details (required)

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