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The Erimus Practice
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Non-NHS Forms

The Doctor is able to sign and complete forms and claims on your behalf, these forms often carry a charge. Please ask a Receptionist if you want to know about charges.

Examples of chargeable forms are:-

  • Holiday Cancellation
  • Private sick / fit notes
  • Private Letters
  • Insurance Claims

Please leave the forms with the Receptionists, along with a telephone number, in case we need to contact you. These will be  passed on to the relevant doctor.

The doctor has daily clinical work and will be not be able to treat such forms as priority over ill patients. You are therefore requested to leave a week before your form will be available for collection.

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The Erimus Practice

20 Cleveland Square, Middlesbrough, Cleveland, TS1 2NX

  • 01642 242746
© Neighbourhood Direct Ltd  2025
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