Medical Questionnaire - Dorset Opera Festival

2027 form coming soon.

Responses to this form go securely to the Festival office and are held in the strictest confidence. They are only referred to in the case of a problem arising, shared on a strictly medical need-to-know basis and deleted after the Festival. If you would like to speak to anyone face-to-face, please come to the Festival office on day one and speak to a member of staff.

Medical form

Name

First Last

Date of birth(Required)

The GP practice where you are registered(Required)

GP phone number(Required)

Next of kin(Required)

Next of kin relationship to you

Next of kin phone number(Required)

Second next of kin (optional)

Second next of kin relationship to you (optional)

Second next of kin phone number (optional)

Your gender(Required)

Some names are not obvious so we need to ask this to ensure you are allocated the correct accommodation area.

if you would like to let us know more about your gender, use this space

Please list any medications you take that we should know about.

Do you have any allergies?

Yes

Please give details of your allergies and explain how they are treated. NB FOR FOOD allergies, please ensure you complete the separate Dietary Requirements form.

Is there anything else about your health that we should know?