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Enquiry form
To book on an Expert Patients Course or for more information please complete the form below and a member of the Expert Patients Programme Team will be in contact with you to discuss your requirements in more detail.

Name

First

Last

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Telephone number

Do you live with a long term health condition or care for someone who does? Please select from the following options.

Has a long term health condition

Carer

Both

What courses are you interested in?

Expert Patients Course

New Beginnings Course

Persistent Pain Course

Looking After Me Course

Name of GP

GP Practice

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Contact the Expert Patients Programme Team

	Self Care Toolkit
	One to one support with Health Trainers
	Get Active with PALS
	Co-Creating Health
	Expert Patients Programme
	Access the patient forum
	NHS Choices
	Information on prescription
	Support with working
	Contact us

Contact the Expert Patients Programme Team

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