Please use this form to submit a consultation request. These will be triaged by the Practice within one working day so please bear in mind that if you submit it after this time, it will not be looked at by the surgery until the following working day.

Consultation Request

First make sure this is not an emergency

DO NOT use this form for any medical emergencies, as your request will not be seen immediately
Please confirm you do not have any of the following symptoms:

  • Crushing chest pain and tightness
  • Signs of a stroke, such as the face may have dropped on one side, unable to smile, droopy eyelid, Arms – may not be able to lift both arms, and keep them there due weakness or numbness in one arm.Speech maybe slurred or garbled, or unable to talk.
  • Severe difficulty breathing
  • Heavy bleeding that won’t stop
  • Severe injuries
  • Feeling suicidal, wanting to harm yourself, or others
Do you have any of the above symptoms? *