Medical Advice Contact Form

NOTE: Please only use this form for Medical Advice. For General Enquiries, please visit our Contact Page.

If you suspect you may have DCI, please phone us IMMEDIATELY - 01788 579 555 or 07931 472 602

For all non-urgent medical inquiries, please complete the following form to have your questions emailed to MDC. Alternatively, you can call us on us on 01788 579 555 during working hours.

title*
first name*
last name*
dob*  (dd-mm-yyyy)
male / female*
home address*
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postal/zip code*
telephone*
email*
Please give a detailed description of the problem or health question*
how heard of MDC*
MDC - Run By Divers For Divers