Online consultation

We aim to respond to requests of this type by midnight the same day. If you believe your matter is more urgent, please call us on 01452 728882.

About the Patient’s Problem

Please tell us about your health problem/concern by answering the series of questions below.

The more information you provide, the easier it will be for us to assess your case and determine the best course of action.

Describe your problem, including any symptoms you’ve been experiencing: *

Is there anything that makes the problem better?

Is there anything that makes the problem worse?

Do you think the problem is linked to anything else?

For example, another health condition, lifestyle (diet, exercise, smoking, drinking), employment, relationships

Do you have any idea what might be causing the problem? *

What treatment or medication have you already tried to improve the problem? *

What are your main concerns about the problem? *

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

If your problem is related to mental health, would you be happy to be referred to our Mental Health Practitioner if we feel this is appropriate?

Yes

If your problem is related to muscle, joint, bone or tendon pain or injury, would you be happy to be referred to our First Contact Physiotherapist, if we feel this is appropriate?

Yes

Your Preferences and Availability

We may decide we need to see you to assess the problem further. Please answer the following questions to help us arrange this.

Is there a particular clinician you would prefer to see?

Yes

Please specify: *

Are you available to come in anytime today or tomorrow?

Yes

Please tell us your availability:

Please tell us the best telephone contact number to call you on, if needed:

Terms & Conditions *

I understand that this service is for medical problems and should not be used for other queries.

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.

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About the Patient’s Problem

Your Preferences and Availability