We are required by the Department of Health to keep information on the ethnicity of our registered patients. Some ethnic groups are more susceptible to certain health risks than others and this information helps us to ensure that all sectors of our community have equal access to the services we provide. For this reason, and this reason alone, we are asking for your co-operation by providing us with this information. We give our assurance of the utmost confidentiality. The ethnic group describes how you see yourself or your family. It is not the same as nationality. You are under no obligation to complete this form but your co-operation will be appreciated. If you require any further information, please speak to one of our Reception staff