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Our vision: To improve the health and wellbeing of the people of Leicester, Leicestershire and Rutland by providing high quality, integrated physical and mental health care pathways.
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    IMPORTANT - we will ring you to book your appointment. If we cannot reach you, an appointment may be sent in the post or your application rejected

    Important - this is important as we will ring to contact you to arrange your appointment

    Important - we will ring to contact you to arrange your appointment

    Please indicate if it is ok to leave a message on your home answer machine or voicemail as appropriate.

    By supplying this we will assume we have your consent to contact you in this way

    Please include a telephone number






    Do you have any specific or special requirements / needs when being contacted, assessed or treated by Podiatry Services?










    Please ensure the patient is aware of and agrees with the referral and is able to accept an appointment within 2-3 weeks.

    Please explain the current problem you are having with your foot / feet

    Confirmation

    You should get confirmation that your application has been submitted. If you dont, please check for errors on your application or missing *mandatory fields*.

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