Get help for any health problem

Do not use this form for an urgent enquiry. The likely result of completing this form will be that you will be offered a routine appointment with a GP in the next 3-4 weeks.

For urgent enquiries please contact the surgery on 01452 891110.

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

Get help for any health problem

Get help for any health problem

About the Patient's Problem

If you are unsure of how to word it, it might help to write down the problem as if you were speaking to someone.
If you're not sure, it's helpful to tell us whether it's been days, weeks, months or years.
This might be something that happened or that you discovered around the time your symptoms began.
Think of anything that might be worrying you about the problem you are telling us about today.
We cannot guarantee that your query will be passed onto the clinician you have requested as this is dependent on their availability.

Attach photos or other files

Please send photos if your problem is a rash, mole, lump, or if you think a photo would help our clinicians.

Tips on taking good photos:

  • Use a background that is plain and dark.
  • Good lighting is important. Use natural lighting if possible, or consider using flash as well as your room lights.
  • Take at least one photo that shows a wide area of your body, so that we can see which parts of you are affected.
  • Take at least one close-up photo. Don't go so close that the picture is out of focus.
  • For problems like moles, put a ruler or coin on the skin close to the mole so that we can see how large it is.
  • Give your camera time to focus on the right spot. If your camera is too close it will be unable to focus.

Any files you attach may be stored on your medical records.

Maximum upload size: 67.11MB
How would you like us to deal with the problem? *

Video consultations require internet access (ideally over WiFi) and a smartphone or computer with a camera and microphone or headset.

Online message sent through your email

Telephone

Face to face appointment

Video consultation

How quickly do you think the problem needs to be dealt with? *
Can we send a text message with your appointment time? *
Terms & Conditions *