eConsultation Forms

Current eConsultation forms available.

Call 999 now if you have:

  • signs of a heart attack – pain like a very tight band, heavy weight or squeezing in the centre of your chest
  • signs of a stroke – face drooping on one side, can’t hold both arms up, difficulty speaking
  • severe difficulty breathing – gasping, not being able to get words out, choking or lips turning blue
  • heavy bleeding – that won’t stop
  • severe injuries – or deep cuts after a serious accident
  • seizure (fit) – someone is shaking or jerking because of a fit, or is unconscious (can’t be woken up)

Admin tasks

Appointment request

Complete the form to request a GP appointment.

Please do not complete this form if your request is urgent.

Cancel appointment

This form allows you to quickly cancel an appointment, you will need to re-book at a later date.

Get a sick / fit note

If you already have a sick/fit note and wish to extend the period of absence from work, then you can do this by completing an online form.

New Patient Registration

This allows you to complete a form to register as a patient at the Practice.

Health reviews

Review my Asthma

If you are due annual your Asthma review or feel your Asthma is not well controlled, please complete this form.

Please note – this form must only be used for patients over the age of 16.  For patients under 16, please book an appointment.

Pill Check

Complete this form if you would like a review of your contraceptive pill.

Smoking Cessation

Complete this form to submit your smoking status.

Submit Blood Pressure

Complete this form to submit your most recent Blood Pressure reading.

Clinical

Medication Query

Complete this form if you have a medication query. Your form will be reviewed within 72 hours and a member of the Practice will contact you if required.