Tell us whether you accept cookies

We've put some small files called cookies on your device to make our site work. We would also like to use analytical cookies to understand how our site is used and improve user experience. Analytical cookies send information to Google Analytics.

Let us know your preference. We will use a cookie to save your choice. Before you make your choice you can read more about our cookie policy.

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

Please select your ethnic background from the options below:

English / Welsh / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Caribbean

African

Asian

Any other White background

Please select your ethnic background from the options below: *

Any Mixed / Multiple ethnic background

Please select your ethnic background from the options below:

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Please select your ethnic background from the options below:

African

Caribbean

Any other Black background

Please select your ethnic background from the options below:

Arab

Any other ethnic group

Please describe your ethnicity:

If you are human, leave this field blank.

68 Bradwell Common Boulevard
Bradwell Common
Milton Keynes
MK13 8RN

Get directions

01908 605775

Feedback and complaints

Wellbeing

Accessibility statement

Website policies