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FORMS

Alcohol Consumption Questionnaire

If you feel you would like to let us know about your alcohol units then please complete and upload the form below - we will then pass the details onto your named GP

Alcohol Consumption Questionnaire

Help with Health Costs/Low Income Form

Please click here for information as to what NHS costs can be covered if you have a low income

New Patient Registration Forms

Please click here if you want more information on our New Patient Procedures before downloading any of the forms below.

Patient Access online application - FOR NEW PATIENT REGISTRATIONS ONLY

New Patient Health Questionnaire -Adult

New Patient Health Questionnaire - Under 16 years of age

Statutory Sick Pay (SSP) - Self certificate:

Please click here for more information on SSP as this is outside of your GP's remit but if helpful you can download the current Employee's statement of sickness (self certificate) by choosing the document below. (or you download from GOV.UK by clicking here)

Statutory Sick Pay (SSP)

Travel Vaccination Forms:

Please click here for more information regarding what to need to do.

Travel Vaccination Form

Using Norethisterone to delay a period:

If you need to delay your menstrual cycle due for a few days then please download the form below, complete all your details and then drop the form into Surgery during our opening hours. Your GP will then review your request and we will contact you once prescription is ready.  ( your prescription should be ready after 4pm two full working days after we receive your request.) 

Using Norethisterone to delay a period

LEAFLETS

Data

Please click here if you require more information concerning the data held at this surgery

GP Privacy Leaflet- Adults

GP Privacy leaflet Children

Practice Leaflet

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