Request surgery appointment form

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Reason for surgery appointment:

Do you have any special access needs for reasons such as disability which mean you require alternative arrangements? If so, please state below:

If you have any letters or documentation that you would like Geoffrey Cox to have sight of prior to your surgery appointment, please send copies (not originals) to:
Geoffrey Cox QC MP, 2 Bridge Chambers, Lower Bridge Street, Bideford, Devon, EX39 2BU