Contact us about an existing application

Make sure you complete all the questions or the form will not be submitted. If you don't hear from us after 2 weeks, please call reception on 01223 364127.

Last Updated: 09/09/2021

Contact Details

Please make sure you complete this accurately as these are the details we will use on your application. Your name and address must match those on your driving licence.

Surname (as it appears on your driving licence) *

First name(s) (as it appears on your driving licence) *

Date of birth *

Mobile number (we will use this to contact you to book your appointment) *

If you already have a date for your driver medical examination, tell us here

Your message

Please use this section to send us a message. Once you have submitted your form it will go directly to our Driver Medicals team.

Write your message here. Remember to answer all the other questions or your message will not be sent. *

DATA HANDLING

The information you have provided on this form, your personal details and medical information, will used to prepare for your medical examination and to assist us in an efficient examination process against the current Group2 driver standards of fitness to drive. Your information will be held by Huntingdon Road Surgery and our partners (including FPM Group, a webhost), and used in any future medical examinations with us. Please be aware that we are not responsible for the security provided by FPM Group. If you are uncomfortable giving them your data, please contact us directly by phone. We have a duty to report to the DVLA or licensing council anyone who is found not fit to drive, otherwise we will not share your information with any third party without your consent. During the appointment you will be asked if you consent to us sharing the information with your chosen licensing authority or the DVLA should they contact us. Please read the PRIVACY STATEMENT on our website for more information about how we store, share and use your personal data. *

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Contact us about an existing application

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