Pre-assessment Checklist Form

 
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Before starting an online consultation, please answer a few quick questions. If any answer suggests you need a different service, we’ll direct you to the right place. This helps keep urgent care safe and ensures online consultations are used appropriately.

Do you require emergency attention?: *

Call 999 or go to A&E now if:

  • you or someone you know needs immediate help
  • you have seriously harmed yourself – for example, by taking a drug overdose

A mental health emergency should be taken as seriously as a medical emergency.

Find your nearest A&E

Thank you, please use the link above to contact an emergency service - You can no longer complete this form: *

Use NHS 111 if:

  • You need help now, but it’s not an emergency

There will be someone to provide you with advice and to direct you to a clinician if it is necessary.

Visit NHS 111 Online

Thank you, please use the link above to contact NHS 111 Online - You can no longer complete this form: *
Are you looking for an urgent same-day appointment?: *

For Urgent Same Day Appointments:

  • Please call the practice on: 01635 917917, choosing option 1

The practice is open Monday to Friday, from 8am to 6:30pm (excluding bank holidays)

Or

Use NHS 111 if:

  • You need help now, but it’s not an emergency

There will be someone to provide you with advice and to direct you to a clinician if it is necessary.

Visit NHS 111 Online

Thank you, please use the options above to request an urgent appointment - You can no longer complete this form: *

Important

We can only review online appointment requests when you are in the UK.

If you are not in the UK, please seek local medical advice locally or see NHS guidance.

I confirm that I am not seeking medical advice for a patient who resides in a care home: *

Please contact us online

Continue to our online contact form

You may close this page after you have selected the link above: *

Important

Please contact the care home where the patient resides. They will be able to liaise with the GP on your behalf.

Thank you, please follow the advice above - You can no longer complete this form: *
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