The Bovey Tracey & Chudleigh Practice

Update Your Smoking Status

If you wish to update us about your smoking status or you require help with stopping then please complete the questions below and submit online.

1Update Your Smoking Status

Name

Address

Date of Birth

Home Telephone

Mobile Telephone

E.Mail Address

Smoking Status

Never smoked

Ex-smoker

Current smoker

If you are a current smoker, would you like to see our smoking cessation advisor for advice on stopping smoking and available drug therapy?

Yes

No

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Privacy Protection

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.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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