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Skin Cancer Service - Plymouth Hospitals

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<strong>Plymouth</strong> Hospital NHS Trust<br />

Your personal details<br />

Your Hospital Team<br />

<strong>Skin</strong> <strong>Cancer</strong> <strong>Service</strong><br />

Name ………………………………………….…………...…………...............<br />

Telephone number ……………………………….……………..….................<br />

Address………………………………………………………………................<br />

……………………………………………….…………………………..............<br />

…………………………………………………………………………...............<br />

…………………………………………………………………………...............<br />

Date of birth ………...………………………………………………................<br />

Your GP’s name and address ………...…………………………..................<br />

…………………………………………………………………………...............<br />

GP’s telephone number ……………………………………………................<br />

Consultant’s name ………………………………………………….................<br />

Key Worker ………………………………………………………….................<br />

Your hospital number ……………………………………...……….................<br />

Hospital Address<br />

Derriford Hosptital,<br />

Derriford Road,<br />

<strong>Plymouth</strong><br />

DEVON, PL6 8DH.<br />

Tel: 08551558155<br />

Your Personal Details<br />

<strong>Skin</strong> <strong>Cancer</strong> <strong>Service</strong>

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