Jai Medical Centre (Brent)

Staglane Location: 82 Stag Lane, Edgware, HA8 5LP | Tel: 0300 033 7863 | 020 8952 8583

Current time is 00:54 - Sorry, we're closed

Sheldon Location: 19 Chichele Road, London, NW2 3AH | Tel: 0300 033 7864 | 0300 033 5816

Current time is 00:54 - Sorry, we're closed

You are here:
Home
/
Tests & Results

You are here:
Home
/
Tests & Results

Tests & Results

Update Your Details

Order Your Prescriptions

Online Appointment Booking

GDPR Patient Consent form

Date of Birth*
Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone*
Email
Consent to use these details
Consent to use these details*
- Yes
- No
Consent to collect your medical data*
- First Choice
Under the GDPR we also need to gain your consent to allow other people to collect repeat prescriptions, any paper work on your behalf. This could be a Sick Certificate, Private Letter, Referral Letter or blood test results. On collection third party will need to provide proof of ID.
Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Email
Phone*
Consent*
I agree to the the above person having consent
Under the GDPR we also need to gain your consent to allow other people to collect repeat prescriptions, any paper work on your behalf. This could be a Sick Certificate, Private Letter, Referral Letter or blood test results. On collection third party will need to provide proof of ID.
Consent to collect your medical data
- Second Choice
Under the GDPR we also need to gain your consent to allow other people to collect repeat prescriptions, any paper work on your behalf. This could be a Sick Certificate, Private Letter, Referral Letter or blood test results. On collection third party will need to provide proof of ID.
Name
First Last
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Phone
Consent
I agree to the the above person having consent
Under the GDPR we also need to gain your consent to allow other people to collect repeat prescriptions, any paper work on your behalf. This could be a Sick Certificate, Private Letter, Referral Letter or blood test results. On collection third party will need to provide proof of ID.
Comments
This field is for validation purposes and should be left unchanged.

Patient Registration Form

Patient Survey

Friends & Family Test

Self Care A-Z

How We Use Your Information

Jai Medical
(Brent)

Monday
08:00 until 18:30
Tuesday
08:00 until 18:30
Wednesday
08:00 until 18:30
Thursday
08:00 until 18:30
Friday
08:00 until 18:30
Saturday
CLOSED
Sunday
CLOSED

Jai Medical (Sheldon)

Monday
08:00 until 18:30
Tuesday
08:00 until 18:30
Wednesday
08:00 until 18:30
Thursday
08:00 until 18:30
Friday
08:00 until 18:30
Saturday
CLOSED
Sunday
CLOSED

Useful Links

This website uses cookies to improve your user experience. If you continue on this website, you will be providing your consent to our use of cookies.

More information Close Accept

	Very easy	Fairly easy	Not very easy	Very difficult	N/A
Getting through on the phone
Speaking to a doctor on the phone
Speaking to a nurse on the phone
Obtaining test results by phone

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously

	Very good	Good	Average	Poor	Very poor
Giving you enough time
Asking about your symptoms
Listening to you
Explaining tests & treatment
Involving you in decisions about your care
Treating you with care and concern
Taking your problems seriously