MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC
MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC
MSA BRITISH TOURING CAR CHAMPIONSHIP - BTCC
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Regulations – <strong>BTCC</strong> 2012<br />
CONFIDENTIAL MEDICAL INFORMATION<br />
For your own benefit please complete all sections in black ink, deleting as appropriate and giving as much detail as<br />
possible. Please write or type clearly.<br />
This will be treated in strict confidence and will only be used in the event of accident or injury when appropriate<br />
details may be released to another doctor or TOCA Official if necessary.<br />
If you wish to discuss anything or have any problems please contact Dr Paul Trafford<br />
RETURN THE ORIGINAL (not a copy) TO:<br />
Dr Paul J. Trafford<br />
7 Victoria Circus<br />
Dowanhill<br />
GLASGOW<br />
G12 9LB<br />
Mobile 07785 557470<br />
Facsimile 0141 337 3228<br />
E-mail paul@doctraff.co.uk<br />
IT IS IN YOUR OWN INTERESTS TO COMPLETE THE MEDICAL FORMS BELOW ACCURATELY WITH AS<br />
MUCH DETAIL AS POSSIBLE<br />
52<br />
52<br />
(03/01/12)
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