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.

Is this an emergency right now?: *
If you are unsure, NHS 111 can help 24/7. For life‑threatening emergencies, call 999 immediately

This form is not for emergency purposes

 How to get clinical help and advice

 How to get a prescription

 What to do when we are closed

Please Call 999 now or go to A&E. Online consultations are not suitable for emergencies.

Do you need urgent help today?: *
Urgent for today: If the surgery is open (8am to 6:30pm, Mon-Fri (excluding bank holidays), please phone the surgery on 01635 917917, choosing option 1. Alternatively, please contact 111: *
Emergency: please Call 999 now or go to A&E. Online consultations are not suitable for emergencies: *
Are you currently in the United Kingdom?: *
We can only review online consultations when you are in the UK. Please seek local medical advice or see NHS guidance.: *

You can proceed to our online consultation form via the next page.

If you are unsure, NHS 111 can help 24/7. For life‑threatening emergencies, call 999 immediately
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