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Useful Forms & Documents

Repeat Prescription Requests

We are unable to take requests for medication on the telephone, however there are a number of ways in which you can order your prescription:

1.) Sign up for online ordering by following the link on the prescriptions page

2.) Send your prescription request to us by post, enclosing a stamped addressed envelope for us to return it to you (please note this option will take longer than the usual two working days, and the Surgery does not accept responsibility for any items that may get lost in the postal system)

3.) Request the required items in writing at the surgery either by completing your request slip (attached to your last prescription) or by completing one of our Manual Prescription Order Forms.

Podiatry 

Please note that you do not need to see a GP for access to Podiatry Services. Just complete this
Self-referral form, send it to the address at the top of the form and they will be in touch with you to arrange a suitable appointment.


Change of Details

If you would like to update your details with the Surgery, please complete the following form and return it to us at your convenience.

Record Update Form


Home Blood Pressure Monitoring

Our Blood pressure record form can be used if you wish to monitor your own blood pressure at home and then have the readings reviewed by a GP.


Self Certification

If you have been ill from work and need to self-certify, please download and print the following form and hand it to your employer.

SC2 Form

Planning for your Future Care - Exploring your Options

Planning for your Future Care

Travel Vaccinations

Travel vaccination appointment guidance

clock2 Travel Questionnaire

For more information, please see our Travel Vaccinations page

Bowel Cancer Screening

Bowel cancer screening information with languages

Smoking cessation

If you are trying to quit smoking but feel you may benefit from a little extra support, please visit the Quit Ready website at www.quitready.co.uk for more information. They offer a range of online support including text, phone and skype. Face to face appointments are also available.

Consent Form

If you wish to provide consent for a third party to discuss your medical treatment with the surgery on your behalf, please complete a copy of our practice consent form which can be found HERE



 
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