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Central Milton Keynes Medical Centre NHS GP Surgery in Milton Keynes

Ethnicity data

Ethnicity Data Form

Section

Ethnicity Data

Please select your ethnic background from the options below:

White

Mixed

Asian

Black

Other

English / Welsh / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Caribbean

African

Asian

Any other White background

*

Any Mixed / Multiple ethnic background

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

African

Caribbean

Any other Black background

Arab

Any other ethnic group

Please describe your ethnicity:

If you are human, leave this field blank.

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68 Bradwell Common Boulevard
Bradwell Common
Milton Keynes
MK13 8RN

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01908 605775

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