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Get help from a doctor or practitioner

Get Help from a Doctor or Practitioner

If you are looking for advice for a child with a fever, please complete this form during our normal opening hours. Outside of our normal hours, please contact 111.

Confirmation

If you are using a UK mobile number, please use the format 07xxxxxxxxx

About the Patient’s Problem

0 of 700 max characters
If you’re not sure, it’s helpful to tell us whether it’s been days, weeks, months or years.
How would you like us to deal with the problem? *
Please be aware, the preference above cannot always be accommodated. Reception may contact you any time from 08:00 to book this appointment with you.

Online message sent through your email

Are you housebound?
Would you require a home visit?
Smoking Status:

Smoker

Would you like help to give up smoking?

Ex Smoker

Do you vape?
For applicable devices

Consultation

Video Consultation:

Video consultations require you to have a smartphone, tablet, laptop or any computer with camera and microphone or headset. You will also require access to the internet, preferably over WiFi. If the practice decides on a video consultation you will be sent an email containing a link for the video consultation, so it’s best if you can receive your emails on that same device.

Does the patient require a translator?
Does the patient require a BSL interpreter present at the appointment?
The practice can send a text message to your phone with your appointment time. *
Terms & Conditions *
Please provide images of the affected area, this will allow us to effectively triage your form. A Clinician will determine if a face-to-face appointment is required.
Maximum upload size: 67.11MB