Herstmonceux Integrative Health Centre

Hailsham Road, Herstmonceux, East Sussex, BN27 4JX

Telephone: 01323 833535

sxicb-esx.hmxihc@nhs.net

We're open

Please keep us updated with any changes to your address, telephone or email details;    

Temporary Residents Form

Temporary services GMS3/99

  • MM slash DD slash YYYY
  • You are now ready to submit your temporary registration form. Our Admin Team will contact you on the number provided above regarding your registration.

  • To be completed by the doctor

  • MM slash DD slash YYYY
  • I declare to the best of my belief this information is correct and I claim the appropriate payment

  • This field is for validation purposes and should be left unchanged.