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Ormskirk House Surgery NHS GP Surgery in St Helens

Ethnicity data

Ethnicity Data

Section

Ethnicity

Please select your ethnic background from the options below: *

White

Mixed

Asian

Black

Other

Ethnic background: *

English / Welsh / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Caribbean

African

Asian

Any other White background

Ethnic background: *

Any Mixed / Multiple ethnic background

Ethnic background: *

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Ethnic background: *

African

Caribbean

Any other Black background

Ethnic background: *

Arab

Any other ethnic group

Please describe your ethnicity: *

If you are human, leave this field blank.

103 Crab Street
St Helens
Merseyside
WA10 2DJ

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01744 624808

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