Get help for any health problem

Use this form to get help from your practice for an on the day problem. We aim to respond to your request within 2 working hours.

Please note that on the day requests should be received by 11:00. You may not be offered an appointment to come to surgery.

You will be triaged directly by the clinician, this will be by reading the information you have provided or by contacting you via the telephone.

Please ensure you are available to take a call and that you have given the correct telephone number in your request.

Please note that we will reply in the first instance and wherever possible by email as your chosen preference cannot always be accommodated. Please be aware that any replies from the surgery may appear in your junk or spam inbox.

Get help for any health problem (COVID-19)

COVID-19 Screening

Do you have either:

a high temperature - This means you feel hot to touch on your chest or back (you do not need to measure your temperature) *
a new, continuous cough - This means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual) *
loss or change to your sense of smell or taste - this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal *
Have you been told by 111 to contact the practice? *
Do you live with someone who has had a high temperature or a new, continuous cough? If their symptoms started more than 14 days ago, click No. *
Please continue to fill out this form
Your symptoms suggest you might have Coronavirus (COVID-19). You should use the 111 online coronavirus service to find out what to do.

Section

About the Patient's Problem

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? *
We will reply in the first instance and wherever possible by email as this preference cannot always be accommodated.

Online message sent through your email

Telephone

Face to face appointment

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.
Do you require a translator?
The practice can send a text message to your phone with your appointment time. *
Terms & Conditions - Please check all boxes before submitting *
If you think it would be helpful, please upload photo(s) of your condition.
Drop a file here or click to upload Choose File
Maximum upload size: 20.97MB