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Your Practice

Coming years estimated gross private practice income

£

Coming years estimated gross private practice income

£
Approximate number of procedures (including endoscopies if applicable) performed in the last year:
Approximate split between consultations and procedures (including endoscopies) performed in the last year:

Do you perform any of the following roles: - MAC Chair, member of MAC, Clinical Supervisor, Training Programme Director or Examiner

Do you treat any elite/professional sports people or high profile (media, TV etc) patients?

Do you plan to cease practice or do have any retirement plans (Private Practice, NHS or Medico Legal):

Have you ever been or are you currently subject to any complaints, claims, disciplinary investigations or circumstances which could lead to a claim, either in the UK or overseas:

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