PLEASE NOTE THIS PAGE IS UNDER CONSTRUCTION. ANY COMPLETED FORMS WILL NOT BE PROCESSED. THANK YOU.
If you would like to be referred to Fitter Futures and gain access to their services then please complete the form below. This will be processed by the practice and a referral will be made. This process will be completed within 14 days of reciept of your secure form.
If you want more information on fitter futures then please consult their website.
To calculate your BMI please click here.
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key known only to the GP practice and is
accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
I consent to my information being used for the purposes described above and wish to submit this online form to
Clarendon Lodge, 16 Clarendon Street, Leamington Spa, Warks, CV32 5SS.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.