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Patient E-Mail Service Opt Out Form

Please enter your details below.

You will need your NHS patient number which can be found on correspondence previously received from the Trust relating to your hospital appointments / healthcare.

In order to process your registration we will need to match your details on our Patient Administration System so please ensure you complete all sections correctly.

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Patient E-Mail Registration

Please enter your NHS number below, split into three parts. For example, if your NHS number is 012-345-6789, you would input the number as follows: Part 1 = 012, Part 2 = 345, Part 3 = 6789
Please choose appropriate option »

Please carefully read our Terms & Conditions before proceeding.  

 Click HERE to view the Patient Email Service Terms & Conditions.

By clicking submit you are confirming that you accept the Derby Teaching Hospitals NHS Foundation Trust Patient Email Service Terms & Conditions.  

BEFORE CLICKING SUBMIT, please ensure you have input your date of birth, NHS number and email address details correctly.