Request a routine appointment

Section

Which type of appointment do you need?

For example, about an existing problem, blood test, long term health review or cervical screening (smear test)

Why do you need this appointment?

Provide brief details about the problem, including who asked you to make this request (if applicable)

Upload a photograph or document

Required upload size: 52.43MB

Have you been told when to have the appointment? *

Yes

No

When does the appointment need to be? *

When are you available to have the appointment? *

When are you available to have the appointment in the next 3 weeks? *

Are there any times when you cannot be contacted?

Terms and conditions *

I confirm that this is not an emergency and understand the surgery cannot help while it is closed. If I need help right now, I will use the NHS 111 service. In an emergency, I will call 999 or go to A&E.