Get help for any health problem

Use this form at any time to get help from your practice. We aim to respond within 3 working days.

If you are human, leave this field blank.

About the health problem

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

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

Is there anything in particular you are worried about? (Optional)

How would you like us to help? (Optional)

If you think it may be helpful, please attach a photo of your condition e.g. a skin issue. Please do not send images of intimate parts of the body, we will arrange a face to face appointment if required.

Maximum upload size: 67.11MB

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

Online message sent through your email

Telephone or face to face appointment

Are there any times of the day when you would not be free to receive a phone call? (Optional)

If we need to arrange an appointment, the practice will contact you with your appointment time and whether it is a face to face or phone appointment. *

Please send me my appointment time via SMS (practice preferred option)

Please send me my appointment time via email

Please send me my appointment time in another way

Please specify how you'd like your appointment time sent: *

Terms & Conditions *

I confirm that this problem is not an emergency. 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. I understand that the practice will not deal with this problem while the practice is closed and it will take 3 working days to receive a response.

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About the health problem

Covid-19 Information