European Joint Support Unit

European Joint Support Unit

To provide Firm Base support to Service Personnel, civilians and their families serving with NATO, the EU and elsewhere in Europe and Turkey, in order to facilitate success on operations

CEP PATIENT REGISTRATION

In order to better manage and inform you regarding your health needs, it is essential that we have up to date information, including contact details.  Please complete this registration form as soon as possible.

In order to provide information to clinicians to make sure the care provided to you is safe and effective, DPHC keep records about your health and any treatment and care you receive from DPHC. The Defence Primary Healthcare patient privacy notice  lets you know what happens to any personal data that you give to us, or any that we may collect from or about you and explains how we collect and process this to meet our obligations to you. The personal data we collect about you may also be provided to other approved organisations, where there is a legal basis, to help with improving the care provided, research into new treatments and preventing illness. These help to provide better health and care for you, your family and future generations. Personal data about your health and care is only used in this way where allowed by law and would never be used for insurance or marketing purposes without your explicit consent. You have a choice about whether you want your personal data to be used in this way, visit www.nhs.uk/your-nhs-data-matters . If you do choose to opt out, you can still consent to your personal data being used for specific purposes.

A form must be completed for both the Service person and their spouse – Children can captured in the Service Person entry.

Personal Details

And or CHI Number

Head of Household Details

Health Status

Lifestyle

Chronis Disease/Long Term Conditions

Detail any other disease or condition not mentioned above, or additional information you feel to be relevant to medical personnel.

Illness/Infectious Disease

Are there any serious Illnesses (eg Heart disease, diabetes, cancers etc) that affect members of your immediate family (1st degree relatives: Mother / Father / Brothers / Sisters, or Grandparents)