Skip to main content

GP intervention request – Urgent

Important: For care home use only

This form should only be completed by care home staff on behalf of their residents, who are registered patients of Watton Medical Practice.

If you are a patient or need to contact us directly, you can phone us on 01953 881247.

Requests must be submitted before 10am.

GP Intervention Request – Urgent
Please ensure all requests are received before 10:00. Coordinate all interventions with one point of contact for GP surgery to call.

Section

About the Patient’s Problem

Readings

Did the patient decline to have their blood pressure measured? *

Please provide the readings below.

/
Did the patient decline to have their sats measured? *
Did the patient decline to have their temperature measured? *

Other Details

Is the patient coughing or chesty?
Please specify if the condition is acute or chronic:
How would you like us to deal with the problem? *

Completed By

Please upload any relevant paperwork/documents relevant to this request:
Maximum upload size: 67.11MB