5) The old-fashioned way Attend one of our surgery sites, ask for a paper registration pack and fill it in with a pen
*** Please note that by submitting your form by email or online you are accepting the risks of your sensitive data being transmitted over the internet. Online forms are convenient, however, no data transmission over the internet can be guaranteed to be 100% secure. Although we use an encrypted & password protected website and email, Pioneer Medical Group cannot ensure or guarantee the security of information you submit online. If you do not consent you can submit the information on paper forms.