How to use this form
- Do not use this form to order repeat medications. Register for Online Services instead.
- The form will not be read by a doctor or nurse first.
- Use this form to contact us about a medical problem rather than phoning our Reception.
- Use this form to arrange a call back from the medical centre by the end of the next working day.
- Your request will be sent to us securely and read by one of our admin staff, who will arrange the most appropriate plan.
- We may need to call you with a plan or for more information, so please give us a working telephone number.