Change my Details

Change your details If you move house it is important that you let us know your new address. It is also important that we have an up-to-date contact telephone number for you at all times. Patients have a responsibility to keep us informed of their current address and phone number so that we can keep...

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Submit my Asthma Review

Submit an Asthma Review Form If you have been advised by the surgery to submit an annual review of your asthma symptoms please use the form below. If your symptoms are deterioriating or you are having any concerns please make an appointment with our Nurse. About YouName* First Last Date of Birth* Email Section BreakYour...

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Submit my Blood Pressure Review

Blood Pressure Monitoring Form Blood Pressure Monitoring Form If you have been advised by the surgery to submit your blood pressure readings on a regular basis please use this form. Name* First Last Date of Birth* Phone NumberEmail Smoking statusSmokerNever smokedEx-smokerHow many per day do you smoke?When did you give up smoking?Your Blood Pressure Pressure...

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Register a Carer

Register a Carer Register a Carer It is important that we know if you are a carer so that we can make sure you receive information, services and the help that is available. If you are a carer please complete the form below Carer DetailsName* First Last Date of Birth* Address* Street Address Address Line...

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Get a Sick Note

Doctor’s Sick Note for more than 7 days Doctor’s Sick Note for more than 7 days Doctor’s Sick Note for more than 7 days If you have been ill for more than 7 days you will need a doctor’s certificate. These certificates are called ‘Fitness To Work’ Certificates. The doctor may call you or arrange...

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Get an Additional Sick Note

Requesting an additional Sick Note Requesting an additional Sick Note Requesting an additional Sick Note If you have already had a Sick Note (Fit Note) for this illness your Doctor may not need to see you to issue an additional Sick Note. Please complete and submit the form below. We will contact your to let...

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Opt out of my Summary Care Record

Summary Care Record Opt Out Form Summary Care Record Opt Out Form Your Summary Care Record contains important information from the record held by your GP practice and includes details of any medicines you are taking, any allergies you suffer from and any bad reactions to medicines that you have previously experienced. Your Summary Care...

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Request my Test Results

Request my Test Results You can use the form below to request your test results. We aim to respond to all questions within two working days. Request my Test Results You can use the form below to request your test results. We aim to respond to all questions within two working days.Name* First Last Date...

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Provide your Feedback

Provide your Feedback Provide your Feedback We would like you to think of your recent experiences of our services. Name* First Last Date of Birth* Phone NumberEmail Your Feedback

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