GP routine appointment request

GP Routine Appointment Request

Section

About the Matter

Please tell us about the matter. If the practice is already aware of this problem, please tell us what has changed. *

Do you have any ideas about what is causing this? (Optional)

How would you like us to deal with the matter? *

Online message sent through your email

Telephone

Face to face appointment

Online message sent through your email

We might still need to phone you or arrange a face to face appointment. Please tell us if either of these would be a problem for you:

Telephone

Are there any days/times when you would not be available to receive a phone call?

We might still need to send you a secure online message or arrange a face to face appointment. Please tell us if either of these would be a problem for you:

Face to face

Are there any days/times when you would not be available to attend a face to face appointment?

You will receive a text or email message confirming your appointment details. Please also check your junk email box in the event that our response is directed via your email provider.

Confirmation *

I confirm that this problem is not an emergency. I understand that the practice will not deal with this problem while the practice is closed.

Confirmation *

If the problem worsens and may require immediate help, I will visit NHS 111 Online or call 111. In an emergency I will call 999.

Tell us whether you accept cookies

Section

About the Matter

Online message sent through your email

Telephone

Face to face