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

Although sending information across the Internet means that privacy of data cannot be absolutely guaranteed, our online forms offer high levels of security. The forms use HTTPS and TLS (using a 2048 bit certificate) to encrypt data sent to and from your computer when using the site and our server environment is PCI DSS certified - the highest standard of security associated with e-commerce and online finance solutions.

Form submissions are stored on the server for 28 days and are encrypted and secured with a private key known only by the GP Practice.

Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.