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Central Middlesex Hospital
Q.1
What is your name?
First Name
Last Name
Q.2
Are you aware that it is proposed that Accident and Emergency (A&E) services at Central Middlesex Hospital is due to permanently close?
*
Yes
No
Q.3
What are your views on the proposed permanent closure of A&E at Central Middlesex Hospital?
*
Q.4
What area do you live in?
*
Q.5
Email address
*
(This may be used in the future to contact you about local issues)
(e.g. john@example.com)
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